Active NPIIndividual provider

Dr. Doreen Blake, MD

Internal Medicine in Largo, Maryland

NPI Number1043209331
Practice location
1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376
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
Zip
20774-5376
Phone Number
301-925-7610
Largo, MD 20774Get directions →

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

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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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.

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