Healthcare Provider Details
I. General information
NPI: 1144347006
Provider Name (Legal Business Name): CROSS KEYS PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2007
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8890 MCDONOGH RD STE 206
OWINGS MILLS MD
21117-5469
US
IV. Provider business mailing address
8890 MCDONOGH RD STE 206
OWINGS MILLS MD
21117-5469
US
V. Phone/Fax
- Phone: 410-323-1144
- Fax: 410-323-6161
- Phone: 410-323-1144
- Fax: 410-323-6161
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARIELA
SARAH
TAUB
Title or Position: OWNER
Credential:
Phone: 410-245-7008