Active NPI
Nadia Adjoa Sam-Agudu, MD
- Pediatric Infectious Diseases Physician
- Baltimore, MD
National Provider Identifier
1851435127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- D72274
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-6749
- Fax
- (410) 328-7305
- NPI assigned
- Feb 19, 2007
- Last updated
- Jan 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | 47366 | MN | |
| Pediatric Infectious Diseases Physician | 2080P0208X | 11026 | ND | |
| Pediatric Infectious Diseases Physician | 2080P0208X | D72274 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 62063
Baltimore, MD 21264-2063
Phone (410) 706-5181
Other names 1
- Nadia Adjoa Sam
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D72274 | MD | MD | Pediatric Infectious Diseases Physician |
| 47366 | MN | MD | Pediatric Infectious Diseases Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1851435127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62063",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212642063",
"telephone_number": "410-706-5181",
"fax_number": "410-706-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-6749",
"fax_number": "410-328-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM-AGUDU",
"first_name": "NADIA",
"middle_name": "ADJOA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "MN",
"license": "47366",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "ND",
"license": "11026",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "MD",
"license": "D72274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NADIA",
"last_name": "SAM",
"middle_name": "ADJOA",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.