Michael B Clark in Annapolis - Vascular & Interventional Radiology
Michael B Clark - NPI 1538115423
Michael B Clark is a Vascular & Interventional Radiology in Annapolis, Maryland. Michael B Clark practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Michael B Clark is 1538115423. The last update date is 2009-02-27.
Michael B Clark's current location address is 2002 Medical Pkwy, Annapolis, Maryland. You can contact this provider via phone number 4102662770 and fax number 4108416251. The mailing address for Michael B Clark is 2002 Medical Pkwy, Annapolis, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael B Clark |
|---|---|
| Address | 2002 Medical Pkwy, Annapolis, Maryland |
| Phone Number | 4102662770 |
| Fax Number | 4108416251 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1538115423 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2009-02-27 |
Provider Mailing Address Detail
| Address | 2002 Medical Pkwy |
|---|---|
| City | Annapolis |
| State | Maryland (MD) |
| Post Code | 214013046 |
| Phone Number | 4102662770 |
| Fax Number | 4108416251 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | D0056183 |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| N899 | MD | AAD AA COUNTY | |
| 019419A80 | MD | AAD PG COUNTY | |
| 2622593 | MD | AETNA HMO/POS | |
| 17000300 | MD | -- | |
| 8317071 | MD | AETNA PPO | |
| 10690029 | MD | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Michael B Clark by the Centers for Medicare & Medicaid Services?
The Michael B Clark has been assigned the NPI (National Provider Identifier) 1538115423. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Michael B Clark is located?
The Michael B Clark is situated at the following address: 2002 Medical Pkwy, Annapolis, MD, 214013046.
What is Michael B Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael B Clark's specialized field of practice is Vascular & Interventional Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0204X.
On what date did the Centers for Medicare & Medicaid Services issue the 1538115423 to Michael B Clark?
The Michael B Clark received its 1538115423 assignment from the Centers for Medicare & Medicaid Services on 2006-05-25.
As of what date were the details pertaining to Michael B Clark last refreshed?
The information related to the Michael B Clark, including its address, specialty, and other relevant details, was last updated on 2009-02-27.