Donita Dyalram (NPI# 1013107572, PAC ID# 6204089634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1013107572 |
| PAC ID by PECOS | 6204089634 |
| Professional Enrollment ID | I20130114000354 |
| Full Name | Donita Dyalram |
| Organization Legal Name | UNIVERSITY OF MARYLAND ORAL MAXILLOFACIAL SURGERY ASSOC PA |
| Address |
650 W Baltimore St Suite 1401 Baltimore MD 21201-1510 |
| Phone Number | 4107066195 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2007 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 1153392162 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210002 | UNIVERSITY OF MARYLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 650 W Baltimore St, Suite 1401, Baltimore, MD 21201-1510 | 4107066195 | UNIVERSITY OF MARYLAND ORAL MAXILLOFACIAL SURGERY ASSOC PA |
| Organization Legal Name | UNIVERSITY OF MARYLAND ORAL MAXILLOFACIAL SURGERY ASSOC PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua E Lubek | Maxillofacial Surgery | University of Maryland Oral Maxillofacial Surgery Assoc Pa | 650 W Baltimore St, Suite 1401, Baltimore, MD 21201-1510 |
| John F Caccamese | Maxillofacial Surgery | University of Maryland Oral Maxillofacial Surgery Assoc Pa | 650 W Baltimore St, Suite 1401, Baltimore, MD 21201-1510 |
| Robert Andrew Ord | Maxillofacial Surgery | University of Maryland Oral Maxillofacial Surgery Assoc Pa | 650 W Baltimore St, Suite 1401, Baltimore, MD 21201-1510 |
| Gary Warburton | Maxillofacial Surgery | University of Maryland Oral Maxillofacial Surgery Assoc Pa | 650 W Baltimore St, Suite 1401, Baltimore, MD 21201-1510 |
| Street Address |
650 W BALTIMORE ST SUITE 1401 |
| City | BALTIMORE |
| State | MD |
| Zip | 21201-1510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua E Lubek | Maxillofacial Surgery | University of Maryland Oral Maxillofacial Surgery Assoc Pa | 650 W Baltimore St, Suite 1401, Baltimore, MD 21201-1510 |
| Timothy F Meiller | Maxillofacial Surgery | 650 W Baltimore St, Room 5201, Baltimore, MD 21201-1510 | |
| John F Caccamese | Maxillofacial Surgery | University of Maryland Oral Maxillofacial Surgery Assoc Pa | 650 W Baltimore St, Suite 1401, Baltimore, MD 21201-1510 |
| Robert Andrew Ord | Maxillofacial Surgery | University of Maryland Oral Maxillofacial Surgery Assoc Pa | 650 W Baltimore St, Suite 1401, Baltimore, MD 21201-1510 |
| Gary Warburton | Maxillofacial Surgery | University of Maryland Oral Maxillofacial Surgery Assoc Pa | 650 W Baltimore St, Suite 1401, Baltimore, MD 21201-1510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andra Henning | Occupational Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Adaobi E Igboanugo | Physical Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Olugbolahan J Anifowose | Physical Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Carmen Tucker-richardson | Qualified Speech Language Pathologist | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Terrell D Trent | Occupational Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Monique Whitney | Physical Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Jodi L Berg-gaither | Nurse Practitioner | University of Maryland Midtown Health Inc | 105 Penn St, Baltimore, MD 21201-1020 |
| Michael L Mincin | Nurse Practitioner | University of Maryland Midtown Health Inc | 105 Penn St, Baltimore, MD 21201-1020 |
| Tiffany D Reabold | Nurse Practitioner | University of Maryland Midtown Health Inc | 105 Penn St, Baltimore, MD 21201-1020 |
| Brent Russell King | Emergency Medicine | University of Maryland Midtown Health Inc | 105 Penn St, Baltimore, MD 21201-1020 |
| Find all physicians in zip 21201 | |||
| City | BALTIMORE |
| Zip Code | 21201 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | BALTIMORE + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Donita Dyalram.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.