Provider Demographics
NPI:1003877473
Name:ALVES, DONALD W (MD, MS, FACEP)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:W
Last Name:ALVES
Suffix:
Gender:M
Credentials:MD, MS, FACEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1201 REISTERSTOWN ROAD
Mailing Address - Street 2:MEDICAL SERVICES
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3899
Mailing Address - Country:US
Mailing Address - Phone:410-653-8366
Mailing Address - Fax:410-653-4290
Practice Address - Street 1:1201 REISTERSTOWN ROAD
Practice Address - Street 2:MEDICAL SERVICES
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-3899
Practice Address - Country:US
Practice Address - Phone:410-653-8366
Practice Address - Fax:410-653-4290
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101057847207P00000X, 207PE0004X
MDD57744207P00000X, 207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services