Healthcare Provider Details

I. General information

NPI: 1154438349
Provider Name (Legal Business Name): MICHAEL T GIORDANO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 W MACPHAIL RD STE 106
BEL AIR MD
21014-4393
US

IV. Provider business mailing address

520 UPPER CHESAPEAKE DR STE 211
BEL AIR MD
21014-4392
US

V. Phone/Fax

Practice location:
  • Phone: 410-638-8900
  • Fax:
Mailing address:
  • Phone: 410-638-9765
  • Fax: 410-893-5875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD65991
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD65991
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberC7-0002982
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberC10008032
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD65991
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: