Individual
MELITA M THEYAGARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 KERNAN DR, BALTIMORE, MD 21207-6665
(410) 448-2500
(410) 448-6810
Mailing address
2200 KERNAN DR, BALTIMORE, MD 21207-6665
(410) 448-2500
(410) 448-6810
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0059513
MD
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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