Provider Demographics
NPI:1013114669
Name:ASIKE, DEONDRA PATRICE-SIMMONS (MD)
Entity type:Individual
Prefix:
First Name:DEONDRA
Middle Name:PATRICE-SIMMONS
Last Name:ASIKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEONDRA
Other - Middle Name:PATRICE
Other - Last Name:SIMMONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1122 KENILWORTH DRIVE #317
Mailing Address - Street 2:ATTN: MARY ELLEN CUTHIE
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:410-296-4616
Mailing Address - Fax:410-337-5068
Practice Address - Street 1:6701 N CHARLES ST # 4226
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-6808
Practice Address - Country:US
Practice Address - Phone:410-296-4616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0071908207L00000X, 207L00000X
NE25084207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology