Individual
TRINA CHAKRABORTTY RIDOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 E 31ST ST, BALTIMORE, MD 21218-3902
(410) 516-9270
(410) 516-4784
Mailing address
1 E 31ST ST, BALTIMORE, MD 21218-3902
(410) 516-5270
(410) 416-4784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D89795
MD
Other
Enumeration date
06/13/2017
Last updated
09/27/2023
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