Individual
DR. ALICIA HEATHER CHAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, N5W40, BALTIMORE, MD 21201-1544
(410) 328-6749
(410) 328-6136
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D72541
MD
2080P0202X
Pediatric Cardiology Physician
Primary
D72541
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550403100
—
MD
Enumeration date
01/02/2008
Last updated
08/16/2013
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