Shailaja M Didolkar MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

D22106 Issued in MD

Legal business name

SHAILAJA M DIDOLKAR MD PA

Practice address

54 Scott Adam Rd
Suite 203
Cockeysville, MD 21030-3216

Phone

(410) 683-1440

Fax

(410) 683-1308

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon D Whitty

Title

Billing Manager

Phone

(410) 529-1200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1629269402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD",
            "address_2": "SUITE 203",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303216",
            "telephone_number": "410-683-1440",
            "fax_number": "410-683-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD",
            "address_2": "SUITE 203",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303216",
            "telephone_number": "410-683-1440",
            "fax_number": "410-683-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAILAJA M DIDOLKAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "WHITTY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-529-1200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D22106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Cockeysville, MD
• Providers in Cockeysville, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.