Provider Demographics
NPI:1245348523
Name:CARAGAY, MARIETA SANCHEZ (MD)
Entity type:Individual
Prefix:DR
First Name:MARIETA
Middle Name:SANCHEZ
Last Name:CARAGAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 IVY HILL RD
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030
Mailing Address - Country:US
Mailing Address - Phone:410-355-2822
Mailing Address - Fax:410-771-1754
Practice Address - Street 1:3455 WILKENS AVE STE 102
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5204
Practice Address - Country:US
Practice Address - Phone:410-355-2822
Practice Address - Fax:410-355-2823
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0028166208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD25801Medicare ID - Type Unspecified
D78042Medicare UPIN