Provider Demographics
NPI:1104814920
Name:NAKHUDA, EDDIE NONE (MD, CMD, FACP)
Entity type:Individual
Prefix:DR
First Name:EDDIE
Middle Name:NONE
Last Name:NAKHUDA
Suffix:
Gender:M
Credentials:MD, CMD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S WIND RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6735
Mailing Address - Country:US
Mailing Address - Phone:410-560-9688
Mailing Address - Fax:410-560-2851
Practice Address - Street 1:2300 DULANEY VALLEY RD
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-2739
Practice Address - Country:US
Practice Address - Phone:410-252-4500
Practice Address - Fax:410-560-2851
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD15504207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine