Provider Demographics
NPI:1396739306
Name:PEICHERT, DAVID B (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:PEICHERT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1838 GREENE TREE RD
Mailing Address - Street 2:SUITE 150-LL
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6391
Mailing Address - Country:US
Mailing Address - Phone:410-602-9262
Mailing Address - Fax:410-602-9276
Practice Address - Street 1:9105 FRANKLIN SQUARE DR
Practice Address - Street 2:SUITE 209
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3930
Practice Address - Country:US
Practice Address - Phone:410-602-9262
Practice Address - Fax:410-602-9276
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2010-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0031008207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD378151800Medicaid
E33962Medicare UPIN
MD378151800Medicaid