Provider Demographics
NPI:1043317100
Name:FRANK J. CRIADO, M.D., P.A.
Entity Type:Organization
Organization Name:FRANK J. CRIADO, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRIADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-554-6400
Mailing Address - Street 1:3333 N CALVERT ST
Mailing Address - Street 2:SUITE # 570
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2867
Mailing Address - Country:US
Mailing Address - Phone:410-554-6400
Mailing Address - Fax:
Practice Address - Street 1:3333 N CALVERT ST
Practice Address - Street 2:SUITE # 570
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2867
Practice Address - Country:US
Practice Address - Phone:410-554-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD201382086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD112307600Medicaid
MDT861OtherBLUECHOICE GROUP #
MDLN96FROtherCAREFIRST GROUP #
MDCG2780OtherRAILROAD MEDICARE GROUP #
MDD77551Medicare UPIN
MDLN96FROtherCAREFIRST GROUP #