Provider Demographics
NPI:1386641082
Name:SMITH, DAVID HALE (MD)
Entity Type:Individual
Prefix:MS
First Name:DAVID
Middle Name:HALE
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8221 TEAL DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-7227
Mailing Address - Country:US
Mailing Address - Phone:410-820-5945
Mailing Address - Fax:410-820-9642
Practice Address - Street 1:8221 TEAL DR
Practice Address - Street 2:SUITE 301
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7227
Practice Address - Country:US
Practice Address - Phone:410-820-5945
Practice Address - Fax:410-820-9642
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD39887207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD091401100Medicaid
MDE15278Medicare UPIN