Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | D0015196 | MD |
NPI | 1770519506 |
---|---|
Provider Name | Howard R Bates |
First Address | Baltimore, MD 21202-2102 |
Second Address | Baltimore, MD 21202-2102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 04/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
903205300 | (05) | MD |
H27142 | (02) | |
S187 / S187 | BLUECHOICE (01) | MD |
S796 / 611305-01 | BC / BS OF MD (01) | MD |