Healthcare Provider Details

I. General information

NPI: 1750777363
Provider Name (Legal Business Name): NADINE ANTONIA PEART AKINDELE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NADINE ANTONIA PEART MD

II. Dates (important events)

Enumeration Date: 04/09/2015
Last Update Date: 07/20/2021
Certification Date: 07/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NORTH WOLFE STREET RUBENSTEIN 3150
BALTIMORE MD
21287
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 410-614-1211
  • Fax: 410-614-1491
Mailing address:
  • Phone: 410-933-6423
  • Fax: 410-933-1390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0085622
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberD0085622
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: