Organization · Type 2 NPI

Tidalhealth Specialty Care, LLC

Diagnostic Radiology Physician · Berlin, MD

NPI number 1780534768 Active

Practice location

9733 Healthway Dr
Berlin, MD 21811-1155

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

40 other providers at this address

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About NPI 1780534768

Tidalhealth Specialty Care, LLC's National Provider Identifier is 1780534768, issued on Jan 30, 2026. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Berlin, MD. The record was last updated on Jan 30, 2026.