Provider Demographics
NPI:1962458422
Name:PLOWE, CHRISTOPHER V (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:V
Last Name:PLOWE
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:PO BOX 64442
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4442
Mailing Address - Country:US
Mailing Address - Phone:410-706-5328
Mailing Address - Fax:410-706-6205
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:410-706-5328
Practice Address - Fax:410-706-6205
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD48173207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD536396-01OtherBLUE CROSS/BLUE SHIELD
MD626500600Medicaid
VA5853508Medicaid
MD440002388Medicare PIN
E20365Medicare UPIN
MD626500600Medicaid