Individual provider · Type 1 NPI
Dianela Perdomo, MD
Student in an Organized Health Care Education/Training Program · Baltimore, MD
NPI number
1235835646
Active
Practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Other practice locations
- 1800 Orleans St, Baltimore, MD 21287-0010 · (410) 955-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1235835646
Dianela Perdomo, MD's National Provider Identifier is 1235835646, issued on Feb 7, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Oct 4, 2025.