Healthcare Provider Details

I. General information

NPI: 1801932082
Provider Name (Legal Business Name): ADAM JOSEPH SCHIAVI PHD, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 04/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST MEYER 8 140
BALTIMORE MD
21287-0001
US

IV. Provider business mailing address

320 JASONTOWN RD
WESTMINSTER MD
21158-3548
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-7481
  • Fax: 410-614-7903
Mailing address:
  • Phone: 410-955-7481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberD0067456
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0067456
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: