Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | D0029247 | MD |
N | 208000000X | Pediatrician | D0029247 | MD |
N | 208000000X | Pediatrician | MD13075 | DC |
NPI | 1083694475 |
---|---|
Provider Name | Dr. Michael D Darden |
First Address | Takoma Park, MD 20912-6969 |
Second Address | Takoma Park, MD 20912-6969 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B94893 | (02) | MD |