Provider Demographics
NPI:1033214044
Name:SALDANA, PATRICIA LOOT (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:LOOT
Last Name:SALDANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 899
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21123-0899
Mailing Address - Country:US
Mailing Address - Phone:410-255-4500
Mailing Address - Fax:410-255-8500
Practice Address - Street 1:8651 FORT SMALLWOOD RD
Practice Address - Street 2:SUITE 2
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-2401
Practice Address - Country:US
Practice Address - Phone:410-255-4500
Practice Address - Fax:410-255-8500
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026872208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD27020000OtherBS0 FED PROVIDER #
MD139231000Medicaid
MD7791OtherBS0 PROVIDER #
MD139231000Medicaid