Provider Demographics
NPI:1205022530
Name:HILARY DON MD LLC
Entity type:Organization
Organization Name:HILARY DON MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:I
Authorized Official - Last Name:DON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-464-6238
Mailing Address - Street 1:5901 N CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-1318
Mailing Address - Country:US
Mailing Address - Phone:410-464-6238
Mailing Address - Fax:
Practice Address - Street 1:5901 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-1318
Practice Address - Country:US
Practice Address - Phone:410-464-6238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCF809OtherBLUE SHIELD OF DC
MDP15359OtherBLUE SHIELD POS
MD06706OtherAMERIGROUP
MD0D64HDOtherBLUE SHIELD OF MARYLAND
MDP15359OtherBLUE SHIELD POS
DCF809OtherBLUE SHIELD OF DC