Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | D83791 | MD |
NPI | 1073932661 |
---|---|
Provider Name | Dr. Deepika Chadive |
First Address | Baltimore, MD 21230-5049 |
Second Address | Baltimore, MD 21215-2121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2014 |
Last Update Date | 13/08/2020 |