Healthcare Provider Details

I. General information

NPI: 1376248955
Provider Name (Legal Business Name): NIDHI DHEMAN GOLDSCHEN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST # N5W7
BALTIMORE MD
21201-1590
US

IV. Provider business mailing address

22 S GREENE ST # N5W70A
BALTIMORE MD
21201-1590
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-6960
  • Fax: 410-328-0646
Mailing address:
  • Phone: 410-328-6960
  • Fax: 410-328-0646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberH0106286
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: