National Provider Identifier Database

MICHAEL B CLARK, MD – NPI #1538115423
Neuroradiology

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.


Contact Information

MICHAEL B CLARK, MD
2002 MEDICAL PKWY
STE 235
ANNAPOLIS, MD21401-3046
Phone: 410-266-2770
Fax: 410-841-6251
Website:
Specialty Taxonomy Code
* Neuroradiology 2085N0700X
Diagnostic Radiology 2085R0202X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for MICHAEL B CLARK

NPI Number 1538115423
Credentials MD
Entity Individual
Enumeration date 05/25/2006
Last updated 02/27/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME94700
  • MD License #: D0056183
  • NC License #: 200000198
  • OH License #: 35.080358
  • PA License #: MD416976
  • SC License #: 28302
  • MD Medicaid: 017000300
  • MD Other: N899 AAD AA COUNTY
  • MD Other: 019419A80 AAD PG COUNTY
  • MD Other: 2622593 AETNA HMO/POS
  • MD Other: 8317071 AETNA PPO
  • MD Other: 10690029 BCBS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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