Individual
DERIK DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Mailing address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
234650
NY
2085R0202X
Diagnostic Radiology Physician
Primary
D0070517
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033581900
—
MD
05
—
049625198
—
DC
Enumeration date
05/14/2008
Last updated
04/24/2019
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