Individual
MICHELLE THERESE KLADAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 502-2037
(410) 955-0737
Mailing address
6201 GREENLEIGH AVE STE 200, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101244697
VA
2085R0202X
Diagnostic Radiology Physician
Primary
D0062129
MD
2085R0202X
Diagnostic Radiology Physician
MD31736
MD
Other
Enumeration date
10/24/2005
Last updated
08/28/2024
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