- Practice location
- 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376
- Phone
- 301-925-7610
- Fax
- —
- Last updated
- June 4, 2014
Doreen Blake is an Internal Medicine based in Largo, MD. Doreen Blake practices in Largo, MD and has the professional credentials of MD. The NPI Number for Doreen Blake is 1043209331 and holds a License No. D39421 (MD). The current practice location address for Doreen Blake is 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 and can be reached out via phone at 301-925-7610.
Provider Profile Details
- NPI Number
- 1043209331
- Provider Name
- Doreen Blake
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376
- Phone Number
- 301-925-7610
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 19, 2005
- Last Update Date
- June 4, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1450 Mercantile Ln
Suite 111
Largo, MD 20774-5376 - City
- Largo
- State
- Maryland
- Zip
- 20774-5376
- Phone Number
- 301-925-7610
Provider Business Mailing Address Details
- Address
- P.o. Box 12622
Belfast, ME 04915-4017 - City
- Belfast
- State
- ME
- Zip
- 04915-4017
- Phone Number
- 443-481-6580
- Fax Number
- 443-481-6515
License Information
- License Number
- D39421
- License State
- MD
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Largo, MD
View all Internal Medicine providers in Largo →Frequently Asked Questions
What is the NPI number of Dr. Doreen Blake, MD?
The NPI number of Dr. Doreen Blake, MD is 1043209331. It was assigned on October 19, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Doreen Blake, MD?
Dr. Doreen Blake, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MD under license number D39421.
Where does Dr. Doreen Blake, MD practice?
The practice location is 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376. The office can be reached at 301-925-7610 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043209331 directly on the NPPES registry website.