Provider Demographics
NPI:1730484619
Name:DAVIDOV, HOWARD ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:ALLEN
Last Name:DAVIDOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7221 DENBERG RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-1038
Mailing Address - Country:US
Mailing Address - Phone:410-484-2781
Mailing Address - Fax:
Practice Address - Street 1:7221 DENBERG RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-1038
Practice Address - Country:US
Practice Address - Phone:410-484-2781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00025462085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology