Sara Aileen Dudley, M.D.
in Columbia, MD. Individual provider (NPI-1).
NPI number1043589880
StatusActive
Last updated in NPPESAug 3, 2021
Details
- NPI
- 1043589880
- Entity type
- Individual (NPI-1)
- Name
- Sara Aileen Dudley
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2011
- Certification date
- Aug 3, 2021
- Last updated
- Aug 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | D85507 | MD | Yes |
Other names
- Sara Aileen Madanikia (Former Name)
Practice location
10710 Charter Dr Ste G030Columbia, MD 21044-3261
Phone 443-546-1300 · Fax 443-546-1303
Mailing address
6201 Greenleigh AveBaltimore, MD 21220-2004
Phone 410-933-6423
Other practice locations
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