Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | D0091611 | MD |
NPI | 1164917456 |
---|---|
Provider Name | Savitha Racha |
First Address | Baltimore, MD 21224-2734 |
Second Address | Baltimore, MD 21224-2734 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2018 |
Last Update Date | 11/02/2022 |