DR. ERKEDA LACHERISH DEROUEN M.D. NPI 1689940710

NPI Information

  • NPI: 1689940710
  • Provider Name: DR. ERKEDA LACHERISH DEROUEN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 29 S PACA ST
    BALTIMORE, MD
    ZIP 21201
  • Phone: (410) 328-5012

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NPI Details

DR. Erkeda Lacherish Derouen, M.D. is a family medicine in Baltimore, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Erkeda Lacherish Derouen, M.D. NPI is 1689940710. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

29 S PACA ST
BALTIMORE, MD
ZIP 21201-771
Phone: (410) 328-5012

The enumeration date for this NPI number is 3/22/2012 and was last updated on 4/25/2019.

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
1207Q00000XFamily Medicine0101265269VIRGINIANo
2207Q00000XFamily MedicineMD046844DISTRICT OF COLUMBIANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4207Q00000XFamily MedicineD79791MARYLANDYes

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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