Healthcare Provider Details

I. General information

NPI: 1841760030
Provider Name (Legal Business Name): KATHERINE WHANG RICE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE ANNE WHANG MD

II. Dates (important events)

Enumeration Date: 11/29/2018
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 SANDPIPER CIR
NOTTINGHAM MD
21236-4991
US

IV. Provider business mailing address

1407 YORK RD STE 301
TIMONIUM MD
21093-6054
US

V. Phone/Fax

Practice location:
  • Phone: 410-252-9090
  • Fax:
Mailing address:
  • Phone: 141-025-2909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0102434
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: