Individual
DR. GINA E DAPUL-HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15200 SHADY GROVE RD STE 400, ROCKVILLE, MD 20850-6256
(240) 243-6115
Mailing address
P.O. BOX 34066, BETHESDA, MD 20827
(240) 243-6115
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
0101261462
VA
207K00000X
Allergy & Immunology Physician
Primary
D0073813
MD
207K00000X
Allergy & Immunology Physician
D73813
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952592818
—
VA
05
—
4691024-00
—
MD
01
—
826726
MEDICARE PTAN
MD
Enumeration date
08/06/2007
Last updated
07/04/2024
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