Provider Demographics
NPI:1659323079
Name:RICHARDS, RHONDA A (MD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:A
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 HULL ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-5313
Mailing Address - Country:US
Mailing Address - Phone:410-328-8025
Mailing Address - Fax:410-752-1490
Practice Address - Street 1:1010 HULL ST
Practice Address - Street 2:SUITE 301
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-5313
Practice Address - Country:US
Practice Address - Phone:410-328-8025
Practice Address - Fax:410-752-1490
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0031296207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD413046400Medicaid
MD429791100Medicaid
MD489PR159OtherMEDICARE PROVIDER NUMBER
MDP00430504OtherRAILROAD
MDE00491Medicare UPIN
MDR159Medicare PIN
MDP00430504OtherRAILROAD
MD489PMedicare PIN