JUDY M DESTOUET


Address: 7253 Ambassador Rd, Baltimore, MD 21244-2710
Phone: 4434361151

JUDY M DESTOUET (NPI# 1245267848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245267848
Entity Type Individual
Full Name JUDY M DESTOUET
Credential MD
Practice Address 7253 Ambassador Rd
Baltimore
MD 21244-2710
Practice Telephone 4434361151
Practice Fax Number 4434361256
Mailing Telephone 4434361151
Mailing Fax Number 4434361256
Enumeration Date 2006-06-27
Last Update Date 2014-01-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
D0043704 MH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 182991200 05

Office Location

Street Address 7253 AMBASSADOR RD
City BALTIMORE
State MD
Zip Code 21244-2710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538156559 David Randy Tabb Radiology 7253 Ambassador Rd, Baltimore, MD 21244-2710 2005-10-04
1487296471 Maryland Imaging Network, PC Radiology 7253 Ambassador Rd, Baltimore, MD 21244-2710 2019-10-11
1730590068 Anna Cherian Radiology 7253 Ambassador Rd, Baltimore, MD 21244-2710 2014-05-08
1811263122 Manuel Soto-fournier Radiology 7253 Ambassador Rd, Baltimore, MD 21244 2012-03-30
1578851192 Puneet Singh Devgun Internal Medicine 7253 Ambassador Rd, Baltimore, MD 21244 2011-07-17
1851619522 Edward Ahn Internal Medicine 7253 Ambassador Rd, Baltimore, MD 21244-2710 2010-05-05
1811125115 Deirdre A. Hansen Radiology 7253 Ambassador Rd, Baltimore, MD 21244-2710 2009-06-24
1588839526 Manjiri Mukund Didolkar Radiology 7253 Ambassador Rd, Baltimore, MD 21244-2710 2008-04-29
1598968117 Kevin E. Jarrell Radiology 7253 Ambassador Rd, Baltimore, MD 21244-2710 2007-06-10
1790987766 Haleema Javid Radiology 7253 Ambassador Rd, Baltimore, MD 21244-2710 2007-06-01
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NPI Name Taxonomy Address Enumeration
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1306318761 Elana Rose Dorfman Social Worker 7205 Rutherford Road, Windsor Mill, MD 21244 2018-12-26
1235618406 Stacy Solte Antonio Physical Therapy Assistant 7141 Security Blvd., Woodlawn, MD 21244 2018-08-08
1831675446 Martha Marie Brown Behavior Technician 7901 Subet Rd, Windsor Mill, MD 21244 2018-07-17
1003306671 Bk Faithful Enterprises Consulting, LLC Dentist 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 2018-05-18
1235640475 Kingsley Awah Home Health Aide 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 2017-10-16
1316465917 Elizabeth Duggan Occupational Therapist 7141 Security Blvd, Md 21244, Baltimore, MD 21244 2017-09-03
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235510983 David Jinkyu Lee Radiology 601 N Caroline St # 3251, Baltimore, MD 21287-0006 2015-06-17
1639556467 Samarth Gola Radiology 601 N Caroline St Ofc 3014, Baltimore, MD 21287-0006 2015-04-30
1386059400 Daniel Ryan Radiology 600 N. Wolfe Street Phipps Bldg, Room B-100, Baltimore, MD 21287 2014-06-26
1538415633 Ammar K. Al-ibraheemi Radiology 601 N Wolfe St Rm 3235a, Baltimore, MD 21287-0004 2012-07-26
1609165042 Sunpreet Singh Tandon Radiology 4940 Eastern Ave Fl 1, Baltimore, MD 21224-2735 2011-04-06
1639476948 Byung Chul Yoon Radiology 1620 Mcelderry St Apt 515, Baltimore, MD 21205 2011-02-23
1730484619 Howard Allen Davidov Radiology 7221 Denberg Rd, Baltimore, MD 21209-1038 2011-01-24
1306075056 Elnasif Arrayeh Radiology 601 N Caroline St # 3235a, Baltimore, MD 21287-0006 2009-07-02
1922234558 Kristin K. Porter Radiology Radiology Department Johns Hopkins Hospital, 600 N Wolfe Street, Baltimore, MD 21287-0001 2009-06-10
1386884302 Elizabeth Kristine Weihe Radiology 601 N Caroline St # 3142, Baltimore, MD 21287-7406 2009-03-03
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Competitor

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City BALTIMORE
Zip Code 21244

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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