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 |
| 1 | 207RR0500X | Internal Medicine | Rheumatology | 216730 | MARYLAND | Yes |
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 |
| 1 | 216730 | OTHER | | TUFTS TOTAL HEALTH PLAN |
| 2 | 25859 | OTHER | | HARVARD PILGRIM PPO |
| 3 | 32-00318 | OTHER | | UNITED HEALTHCARE HMO PPO |
| 4 | 4445196 | OTHER | | CIGNA HEALTH CARE |
| 5 | J26191 | OTHER | | HMO BLUE/BLUE CHOICE |
| 6 | H90700 | MEDICARE UPIN | | |
| 7 | 216730 | OTHER | | TUFTS |
| 8 | 216730 | OTHER | | TUFTS COMMONWEALTH PPO |
| 9 | 47634 | OTHER | | CHILDREN'S MEDICAL SECURI |
| 10 | 0030078 | OTHER | | NEIGHBORHOOD HEALTH PLAN |
| 11 | 216730 | OTHER | | TUFTS BENEFIT ADMIN. |
| 12 | 25859 | OTHER | | FIRST SENIORITY |
| 13 | 2018721 | OTHER | | MASS HEALTH (DIV OF MED) |
| 14 | A35807 | MEDICARE ID-TYPE UNSPECIFIED | | |
| 15 | 25859 | OTHER | | HARVARD PILGRIM POS |
| 16 | HARVARD/PILGRIM | OTHER | | 25859 |
| 17 | 4445196 | OTHER | | HELATHSOURCE MASSACHUSETT |
| 18 | J26191 | OTHER | | BLUE SHIELD-INDEMNITY |
| 19 | J26191 | OTHER | | BS- BLUE CARE ELECT |
