DR. JESSIE DOUKAS STAHL M.D. NPI 1831150952

NPI Information

NPI: 1831150952
Provider Name: DR. JESSIE DOUKAS STAHL, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
4940 EASTERN AVE
PAVILION 1ST FLOOR
BALTIMORE, MD
ZIP 21224
Phone: (410) 550-0212
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DR. Jessie Doukas Stahl, M.D. is a diagnostic radiology radiology in Baltimore, MD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jessie Doukas Stahl, M.D. NPI is 1831150952. 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:

4940 EASTERN AVE
PAVILION 1ST FLOOR
BALTIMORE, MD
ZIP 21224-735
Phone: (410) 550-0212
Fax: (410) 550-1264

The enumeration date for this NPI number is 3/29/2006 and was last updated on 2/1/2013.

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	2085R0202X	Radiology	Diagnostic Radiology	D0019978	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	2849	OTHER	DISTRICT OF COLUMBIA	B/C B/S
2	D77920	MEDICARE UPIN	MARYLAND
3	KA80	OTHER	MARYLAND	B/C B/S
4	CN2566	MEDICARE PIN	MARYLAND
5	J062	OTHER	MARYLAND	B/C B/S
6	1309401400	MEDICAID	MARYLAND
7	DD4343	MEDICARE PIN	DELAWARE
8	KR80N524	MEDICARE PIN	MARYLAND
9	CD4495	MEDICARE PIN	MARYLAND
10	309401400	MEDICAID	MARYLAND

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

NPI Synchronization or Removal

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