Provider Demographics
NPI:1497763601
Name:PLINER, DIANA
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:PLINER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001A SEVEN MILE LANE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215
Mailing Address - Country:US
Mailing Address - Phone:410-580-1320
Mailing Address - Fax:410-580-1505
Practice Address - Street 1:4000 OLD COURT RD
Practice Address - Street 2:STE 100
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2891
Practice Address - Country:US
Practice Address - Phone:410-580-1320
Practice Address - Fax:410-580-1505
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD434213500Medicaid
MD75845904OtherBLUE CROSS BLUE SHIELD
MD434213500Medicaid
MD406M574FMedicare ID - Type Unspecified