Individual
DR. MICHAEL T. RUDIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1838 GREENE TREE RD STE 120, PIKESVILLE, MD 21208-7108
(443) 471-0480
(410) 584-1885
Mailing address
515 FAIRMOUNT AVE STE 400, TOWSON, MD 21286-8518
(443) 471-0480
(410) 584-1885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D18095
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35880170
—
MD
Enumeration date
06/12/2006
Last updated
07/22/2019
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