Healthcare Provider Details

I. General information

NPI: 1740234616
Provider Name (Legal Business Name): PAMELA D PARKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 S PACA ST STE 400
BALTIMORE MD
21201-1748
US

IV. Provider business mailing address

250 W PRATT ST STE 880
BALTIMORE MD
21201-6829
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-5964
  • Fax: 410-328-3589
Mailing address:
  • Phone: 667-214-1302
  • Fax: 410-328-1669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number32169
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberS2138
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: