Diaz, Mario Humberto

Diaz, Mario Humberto is an individual health care provider with primary practice located at 2001 Medical Pkwy Acp 4Th Floor/Surgical Hospitalist Ste., Annapolis MD 21401-3280. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Diaz, Mario Humberto can be contacted via phone (443) 481-1372.

Contact Information

Primary practice address
2001 Medical Pkwy Acp 4Th Floor/Surgical Hospitalist Ste. Annapolis MD 21401-3280
Phone: (443) 481-1372
Fax: (443) 481-1360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0022049 Maryland

Profile Details

NPI number 1508803693
LBN Legal business name Diaz, Mario Humberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Sep 17th, 2010 - about 15 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 1508803693 NPPES
Other 4071161 AETNA PPO
Other 6718667 AETNA PPO
Other 89468104 AETNA PPO
Other K585007 AETNA PPO
Other 145726104 AETNA PPO
Other 112414 AETNA PPO

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