Healthcare Provider Details

I. General information

NPI: 1346217981
Provider Name (Legal Business Name): CLAUDIA M. BECK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9011 CHEVROLET DRIVE SUITES 7 AND 8
ELLICOTT CITY MD
21042
US

IV. Provider business mailing address

9011 CHEVROLET DRIVE SUITES 7 AND 8
ELLICOTT CITY MD
21042
US

V. Phone/Fax

Practice location:
  • Phone: 410-465-4111
  • Fax: 410-465-4124
Mailing address:
  • Phone: 410-465-4111
  • Fax: 410-465-4124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberD0058486
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: