MEDICARE: DR. DONOVAN PARKES MD

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
1	207Q00000X	Family Medicine Physician	D0034730	MD

Other Identifiers

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

General Provider Information

NPI Number	:	1811964133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONOVAN PARKES MD

Provider Business Mailing Address
First Line	:	17 DEEP POWDER CT
Second Line	:
City	:	WOODSTOCK
State	:	MD
Zip	:	21163-1110
Country	:	US
Telephone Number	:	410-591-5869
Fax Number	:

Provider Business Practice Location Address
First Line	:	8507 LIBERTY RD
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-4833
Country	:	US
Telephone Number	:	410-496-9105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2006
Last Update Date	:	02/04/2026

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