Provider Demographics
NPI:1649564857
Name:GRIFFITH, LINDA MAE (MD, PHD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MAE
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 ROCKVILLE PIKE
Mailing Address - Street 2:UNIT 1320
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3359
Mailing Address - Country:US
Mailing Address - Phone:301-897-8037
Mailing Address - Fax:301-897-8037
Practice Address - Street 1:10500 ROCKVILLE PIKE
Practice Address - Street 2:UNIT 1320
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3359
Practice Address - Country:US
Practice Address - Phone:301-897-8037
Practice Address - Fax:301-897-8037
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD43835207ZB0001X
DCMD21425207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine