Provider Demographics
NPI:1134130446
Name:HAWKINS-COLE, SALOME (DO)
Entity Type:Individual
Prefix:DR
First Name:SALOME
Middle Name:
Last Name:HAWKINS-COLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8909 REISTERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1015
Mailing Address - Country:US
Mailing Address - Phone:410-415-5600
Mailing Address - Fax:410-415-5900
Practice Address - Street 1:8909 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-1015
Practice Address - Country:US
Practice Address - Phone:410-415-5600
Practice Address - Fax:410-415-5900
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0046961207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC5460-0086OtherBCBS
G25719Medicare UPIN
MD035ME781Medicare PIN