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SHIRLEY E. REDDOCH MD LLC NPI 1811137169


NPI Information

NPI: 1811137169
Provider Name: SHIRLEY E. REDDOCH, MD, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5755 CEDAR LN
COLUMBIA, MD
ZIP 21044
Phone: (202) 256-9987
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SHIRLEY E. REDDOCH, MD, LLC is a specialist in Columbia, 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. SHIRLEY E. REDDOCH, MD, LLC NPI is 1811137169. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5755 CEDAR LN
COLUMBIA, MD
ZIP 21044-912
Phone: (202) 256-9987
Fax: (410) 785-3124

The provider's authorized official is Shirley E Reddoch .
The authorized official title is Physician and has the following contact phone number (202) 256-9987.

The enumeration date for this NPI number is 2/26/2009 and was last updated on 2/26/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistD0060655MARYLANDYes

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: 4/28/2024

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