Provider Demographics
NPI:1295848307
Name:INFECTIOUS DISEASES CONSULTANTS, LLC
Entity Type:Organization
Organization Name:INFECTIOUS DISEASES CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:EDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-366-4441
Mailing Address - Street 1:200 E 33RD ST
Mailing Address - Street 2:SUITE 640
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-3322
Mailing Address - Country:US
Mailing Address - Phone:410-366-4441
Mailing Address - Fax:
Practice Address - Street 1:200 E 33RD ST
Practice Address - Street 2:SUITE 640
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-3322
Practice Address - Country:US
Practice Address - Phone:410-366-4441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD38282207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE718OtherBLUECHOICE #
MDLS78INOtherCAREFIRST #
MD307RMedicare ID - Type UnspecifiedMEDICARE
MDD38282Medicare UPIN