Provider Demographics
NPI:1194768275
Name:SEVIER, LINDA N (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:N
Last Name:SEVIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-5524
Mailing Address - Fax:410-601-8946
Practice Address - Street 1:12221-3 TULLAMORE ROAD
Practice Address - Street 2:MEDICAL CARE CENTER AT MAYS CHAPEL
Practice Address - City:LUTHERVILLE-TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093
Practice Address - Country:US
Practice Address - Phone:410-308-7845
Practice Address - Fax:410-308-7809
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD34586208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE45595Medicare UPIN