Individual provider · NPI-1

Dr. Vladimir Demidov, MD

· Annapolis, MD

NPI number1609941624
StatusActive
Last updated in NPPESApr 23, 2024

Details

NPI
1609941624
Entity type
Individual (NPI-1)
Name
Dr. Vladimir Demidov
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 22, 2006
Certification date
Apr 22, 2024
Last updated
Apr 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0805X D0054618MDYes
2084P0800X Psychiatry & Neurology, PsychiatryD0054618MD

Practice location

2001 Medical Pkwy
Annapolis, MD 21401-3280

Phone 443-481-1000

Mailing address

2001 Medical Parkway
Annapolis, MD 21401

Phone 443-481-1000 · Fax 443-481-1271

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