Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | D0091860 | MD |
Y | 208600000X | Surgeon | D0091860 | MD |
N | 2086S0102X | Surgical Critical Care | D91860 | MD |
NPI | 1093192023 |
---|---|
Provider Name | Cheralyn Hendrix |
First Address | Severn, MD 21144-3044 |
Second Address | Baltimore, MD 21201-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2015 |
Last Update Date | 26/08/2021 |