Diaz, Luis Alberto

Diaz, Luis Alberto is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Diaz, Luis Alberto can be contacted via phone (410) 955-8964.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Phone: (410) 955-8964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D57984 Maryland
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D28240 Maryland

Profile Details

NPI number 1689601460
LBN Legal business name Diaz, Luis Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Feb 6th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689601460 NPPES
Maryland MEDICAID 401517700

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