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DR. MONTA LAVAE CONRAD MD NPI 1275616526


NPI Information

NPI: 1275616526
Provider Name: DR. MONTA LAVAE CONRAD, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
200 FORBES STREET
SUITE 200
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 263-6363
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DR. Monta Lavae Conrad, MD is a pediatrics in Annapolis, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Monta Lavae Conrad, MD NPI is 1275616526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 FORBES STREET
SUITE 200
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 263-6363
Fax: (410) 263-4086

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMD33125DISTRICT OF COLUMBIANo
2208000000XPediatricsD63209MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I44304MEDICARE UPINDISTRICT OF COLUMBIA
237492800MEDICAIDDISTRICT OF COLUMBIA
3FC1435379OTHERMARYLANDDEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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