Provider Demographics
NPI:1689739880
Name:DELIMA, CHRISTINE (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:DELIMA
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 1:7350 VAN DUSEN RD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5242
Mailing Address - Country:US
Mailing Address - Phone:301-497-9990
Mailing Address - Fax:301-490-7049
Practice Address - Street 1:7350 VAN DUSEN RD
Practice Address - Street 2:SUITE 260
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5242
Practice Address - Country:US
Practice Address - Phone:301-497-9990
Practice Address - Fax:301-490-7049
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD22755207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD016900C78Medicare PIN
MDE88646Medicare UPIN