Provider Demographics
NPI:1609874718
Name:ALDANA, ERWIN R (MD)
Entity Type:Individual
Prefix:DR
First Name:ERWIN
Middle Name:R
Last Name:ALDANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1860 REISTERSTOWN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1335
Mailing Address - Country:US
Mailing Address - Phone:443-244-0318
Mailing Address - Fax:410-740-4776
Practice Address - Street 1:1860 REISTERSTOWN RD
Practice Address - Street 2:SUITE A
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-1335
Practice Address - Country:US
Practice Address - Phone:443-244-0318
Practice Address - Fax:410-740-4776
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0044741207Q00000X, 207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2254000 00Medicaid
DCP00769959OtherRAILROAD MEDICARE
MDP00772244OtherRAILROAD MEDICARE
MD160690ZBLJMedicare PIN
DCP00769959OtherRAILROAD MEDICARE
MDP00772244OtherRAILROAD MEDICARE