Healthcare Provider Details

I. General information

NPI: 1730159898
Provider Name (Legal Business Name): ANTONI JOAN PARELLADA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOAN ANTONI PARELLADA M.D.

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ORLEANS STREET
BALTIMORE MD
21264-4200
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-4100
  • Fax: 443-287-3557
Mailing address:
  • Phone: 410-933-6423
  • Fax: 215-612-5077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberMD070495L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number25MA07213500
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD070495L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25MA07213500
License Number StateNJ
# 5
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberD95719
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: