Individual
MIDORI PAVIELLE STARKS WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
1800 ORLEANS ST # 110, BALTIMORE, MD 21287-0010
(410) 955-5020
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D96240
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
04/13/2023
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