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NPI Code Detail

MEDICARE: UNIVERSITY OF MARYLAND DIAGNOSTIC IMAGING SPECIALISTS P A

MEDICARE: UNIVERSITY OF MARYLAND DIAGNOSTIC IMAGING SPECIALISTS P A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0904XNuclear Radiology Physician
2207UN0902XNuclear Imaging & Therapy Physician
3207U00000XNuclear Medicine Physician
42085U0001XDiagnostic Ultrasound Physician
52085P0229XPediatric Radiology Physician
62085B0100XBody Imaging Physician
72085R0204XVascular & Interventional Radiology Physician
82085N0700XNeuroradiology Physician
92085D0003XDiagnostic Neuroimaging (Radiology) Physician
102085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790591329
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF MARYLAND DIAGNOSTIC IMAGING SPECIALISTS P A
Provider Business Mailing Address
First Line : PO BOX 17383
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-1383
Country : US
Telephone Number : 410-328-1565
Fax Number : 410-328-0641
Provider Business Practice Location Address
First Line : 827 LINDEN AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21201-4606
Country : US
Telephone Number : 410-328-3477
Fax Number : 410-328-0641
Authorized Official
Title or Position : FSS
Name : THERESA KARAMIAN
Credential :
Telephone Number : 410-328-1565
Provider Enumeration Date : 12/09/2024
Last Update Date : 03/09/2026

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