Healthcare Provider Details

I. General information

NPI: 1265887913
Provider Name (Legal Business Name): CECILIA CAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1046 NORTH POINT RD
BALTIMORE MD
21224-3307
US

IV. Provider business mailing address

1046 NORTH POINT RD
BALTIMORE MD
21224-3307
US

V. Phone/Fax

Practice location:
  • Phone: 410-766-1995
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberD0090335
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberS1575
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: