DR. CHALLICE L BONIFANT MD PHD NPI 1568605467

NPI Information

  • NPI: 1568605467
  • Provider Name: DR. CHALLICE L BONIFANT, MD, PHD
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1650 ORLEANS ST # 242
    BALTIMORE, MD
    ZIP 21287
  • Phone: (410) 955-2813

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NPI Details

DR. Challice L Bonifant, MD, PHD is a pediatric hematology-oncology pediatrics in Baltimore, MD with 16 years of experience. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Challice L Bonifant, MD, PHD NPI is 1568605467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

1650 ORLEANS ST # 242
BALTIMORE, MD
ZIP 21287-013
Phone: (410) 955-2813
Fax: (410) 955-8897

The NPI 1568605467 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2009 and was last updated on 9/16/2019.

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
12080P0207XPediatricsPediatric Hematology-Oncology4301108154MICHIGANNo
22080P0207XPediatricsPediatric Hematology-OncologyD86711MARYLANDYes

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: 3/30/2025

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