G ROBERT MEDALIE MD NPI 1083621676

NPI Information

  • NPI: 1083621676
  • Provider Name: G ROBERT MEDALIE, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 6535 N CHARLES STREET
    SUITE 325
    BALTIMORE, MD
    ZIP 21204
  • Phone: (410) 321-9701

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NPI Details

G Robert Medalie, MD is a cardiovascular disease internal medicine in Baltimore, MD. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. G Robert Medalie, MD NPI is 1083621676. 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:

6535 N CHARLES STREET
SUITE 325
BALTIMORE, MD
ZIP 21204-824
Phone: (410) 321-9701
Fax: (410) 321-0845

The enumeration date for this NPI number is 8/3/2006 and was last updated on 4/28/2008.

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
1207RC0000XInternal MedicineCardiovascular DiseaseD0021398MARYLANDYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B67115MEDICARE UPIN
2060057954OTHERMARYLANDRAILROAD MEDICARE
3138731600MEDICAIDMARYLAND
4842L088EMEDICARE PINMARYLAND

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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