Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | D0054887 | MD |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D0054887 | MD |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | D0054887 | MD |
NPI | 1043253586 |
---|---|
Provider Name | Kamala H Littleton |
First Address | Baltimore, MD 21264-4075 |
Second Address | Baltimore, MD 21202-2102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 18/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
400215600 | (05) | MD |
H70770 | (02) | |
KG 65 ST / 617146-01 | BC / BS OF MD (01) | MD |
S186 / 0051 | BLUECHOICE (01) | MD |