Healthcare Provider Details

I. General information

NPI: 1629110143
Provider Name (Legal Business Name): RHEANNA PLATT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST JOHNS HOPKINS HOSPITAL
BALTIMORE MD
21205-2101
US

IV. Provider business mailing address

3207 N CALVERT ST
BALTIMORE MD
21218-3339
US

V. Phone/Fax

Practice location:
  • Phone: 410-283-4094
  • Fax:
Mailing address:
  • Phone: 507-358-1202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number21191
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: