Provider Demographics
NPI:1114447935
Name:PIORODA, CLARO (MD)
Entity Type:Individual
Prefix:
First Name:CLARO
Middle Name:
Last Name:PIORODA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 BLAKEFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4406
Mailing Address - Country:US
Mailing Address - Phone:410-336-5745
Mailing Address - Fax:
Practice Address - Street 1:1805 BLAKEFIELD CIR
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4406
Practice Address - Country:US
Practice Address - Phone:410-336-5745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0015120208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0015120OtherMARYLAND MEDICAL LICENSE