Individual provider Active NPI

Eddie None Nakhuda, M.D., CMD, FACP

  • Geriatric Medicine (Internal Medicine) Physician
  • Lutherville, MD
National Provider Identifier
1104814920
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
D15504 Issued in MD
Practice address
2300 Dulaney Valley Rd
Lutherville, MD 21093-2739
Phone
(410) 252-4500
Fax
(410) 560-2851
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D15504 MD Primary

Addresses

Primary practice location

2300 Dulaney Valley Rd
Lutherville, MD 21093-2739

Mailing address

300 S Wind Rd
Baltimore, MD 21204-6735
Phone (410) 560-9688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1104814920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S WIND RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046735",
            "telephone_number": "410-560-9688",
            "fax_number": "410-560-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 DULANEY VALLEY RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210932739",
            "telephone_number": "410-252-4500",
            "fax_number": "410-560-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKHUDA",
        "first_name": "EDDIE",
        "middle_name": "NONE",
        "name_prefix": "Dr.",
        "credential": "M.D., CMD, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D15504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.