Provider Demographics
NPI:1427097336
Name:GHIDINI, ALESSANDRO (MD)
Entity type:Individual
Prefix:MR
First Name:ALESSANDRO
Middle Name:
Last Name:GHIDINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 37174
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3174
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:4320 SEMINARY ROAD
Practice Address - Street 2:INOVA ALEXANDRIA HOSPITAL PERINATAL DIAGNOSTIC CENTER
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1535
Practice Address - Country:US
Practice Address - Phone:703-504-7868
Practice Address - Fax:703-504-7733
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101053517207SC0300X, 207V00000X, 207VM0101X
DCMD20669207SC0300X, 207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207SC0300XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Cytogenetics
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0001OtherCAREFIRST
VA442831OtherMPIPA OPTIMA CHOICE ALLIA
VA006068006Medicaid
VA044808126OtherWPS TRICARE FOR LIFE
VA290803OtherANTHEM