Provider Demographics
NPI:1386176477
Name:TAXAK, PRITEE (MD)
Entity type:Individual
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First Name:PRITEE
Middle Name:
Last Name:TAXAK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:JOHN HOPKINS, RUSSELL H MORGAN, DEPARTMENTOF RADIOLOGY
Mailing Address - Street 2:601 N CAROLINE STREET, JHOC 3022
Mailing Address - City:BALTOMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:410-955-9446
Mailing Address - Fax:410-578-0567
Practice Address - Street 1:JOHN HOPKINS, RUSSELL H MORGAN, DEPARTMENTOF RADIOLOGY
Practice Address - Street 2:601 N CAROLINE STREET, JHOC 3022
Practice Address - City:BALTOMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-955-9446
Practice Address - Fax:410-578-0567
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2022-06-17
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Provider Licenses
StateLicense IDTaxonomies
MDD935182085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology