NPI 1477849412 · live from the CMS NPI Registry
Senayet Dereje Agonafer, M.D.
Radiology, Diagnostic Radiology in Baltimore, MD. National Provider Identifier 1477849412, active.
NPI record
| NPI | 1477849412 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 3001 Hanover St, Department Of Medicine, Baltimore, MD 21225 |
| Practice phone | 410-350-3565 |
| Mailing address | 2616 Erwin Rd, Unit 2224, Durham, NC 27705 |
| Enumerated | June 28, 2011 |
| Last updated | October 17, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 285336 (NY) |
| Radiology, Body Imaging | 2085B0100X | 285336 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.