Physician Assistant

Address: 625 Umbra St, Baltimore, MD 21224-4628

REDA CHAOUI (NPI# 1871187054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871187054
Entity Type Individual
Gender Male
Credential MMS, PA-C
Practice Address 625 Umbra St
MD 21224-4628
Practice Telephone 4435357755
Mailing Address 625 Umbra St
MD 21224-4628
Mailing Telephone 4435357755
Certification Date 2021-02-27
Enumeration Date 2021-02-27
Last Update Date 2021-02-27
Is Sole Proprietor N


Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 363A00000X Physician Assistant C0007882 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 625 UMBRA ST
State MD
Zip Code 21224-4628

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NPI Name Taxonomy Address Enumeration
1811589328 Allison Udris Counselor · Mental Health 251 Bayview Boulevard, Suite 03a511, Baltimore, MD 21224 2021-02-05
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1710595517 Lisa Farinelli Registered Nurse · Addiction (Substance Use Disorder) 251 Bayview Bldv, Baltimore, MD 21224 2020-07-17
1891303038 Lorenzo Leggio General Practice Nih/Nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 2020-07-14
1922622737 Johns Hopkins Bayview Medical Center, Inc. Community/Behavioral Health 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 2020-06-08
1194347039 Johns Hopkins Bayview Medical Center, Inc. Clinic/Center · Mental Health (Including Community Mental Health Center) 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 2020-05-14
1366061137 Sai Sachin Divakaruni Student in an Organized Health Care Education/Training Program 5200 Eastern Avenue, Mfl Center Tower, 3rd Floor - Rm 342, Baltimore, MD 21224 2020-04-13
1558995670 Myeong Hyun Chae · Myeong Hyun Chae Dentist · General Practice 7839 Eastern Ave, Baltimore, MD 21224 2020-02-27
1104482561 Alexis Powers Counselor · Professional 3701 Bank St, Baltimore, MD 21224 2019-05-11
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851986244 Kathy Camellia Lightfoot Brc, 251 Bayview Blvd, Baltimore, MD 21224-2816 2021-03-08
1659977676 Danielle Terese Shanahan 3308 Garnet Rd, Baltimore, MD 21234-4805 2020-12-06
1043819345 Jonathan Borlo 620 W Lexington St Ste 5110, Baltimore, MD 21201-1508 2020-10-19
1235738683 Ester Dahee Kim 2400 W Belvedere Ave, Baltimore, MD 21215-5216 2020-10-17
1366040362 Danielle R Whearty 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 2020-10-12
1962014233 Julian Kang 3407 Wilkens Ave Ste 250, Baltimore, MD 21229-5222 2020-08-18
1851920383 Dorothy Madarang 4940 Eastern Ave # 1201, Baltimore, MD 21224-2735 2020-04-06
1962034868 Ruth Angelica Naomi Jasienski 6821 Reisterstown Rd Lowr Lvl, Baltimore, MD 21215-1431 2020-02-08
1174153886 Alana Robyn Merkow 4940 Eastern Ave Ste A-150, Baltimore, MD 21224-2735 2020-01-22
1003458837 Michael Pham 620 W Lexington St, Baltimore, MD 21201-1508 2019-10-14
Find all providers in BALTIMORE


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Zip Code 21224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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