UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA NPI 1033926423

NPI Information

  • NPI: 1033926423
  • Provider Name: UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 21D0663849
  • Address: 2200 KERNAN DR
    BALTIMORE, MD
    ZIP 21207
  • Phone: (410) 328-6897

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NPI Details

UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA is a specialist in Baltimore, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA NPI is 1033926423. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 KERNAN DR
BALTIMORE, MD
ZIP 21207-665
Phone: (410) 328-6897
Fax: (410) 328-2109

The provider's authorized official is Shavonda L Williams .
The authorized official title is Corporate Director and has the following contact phone number (667) 214-2507.

The CLIA number assigned to this NPI record is 21D0663849 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/18/2024 and was last updated on 12/18/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

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: 11/21/2025

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