Individual
ADIL T DEGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044
(410) 844-4644
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001294
GA
207R00000X
Internal Medicine Physician
Primary
D73909
MD
207RS0012X
Sleep Medicine (Internal Medicine) Physician
D73909
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053837000
—
MD
01
—
314732
KAISER
MD
01
—
4201157
CIGNA
MD
01
—
8525878
AETNA HMO
MD
01
—
9178835
AETNA PPO
MD
Enumeration date
11/09/2007
Last updated
06/04/2019
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