Provider Demographics
NPI:1730159898
Name:PARELLADA, ANTONI JOAN (MD)
Entity type:Individual
Prefix:
First Name:ANTONI
Middle Name:JOAN
Last Name:PARELLADA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOAN
Other - Middle Name:ANTONI
Other - Last Name:PARELLADA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:215-612-5077
Practice Address - Street 1:1800 ORLEANS STREET
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21264-4200
Practice Address - Country:US
Practice Address - Phone:410-955-4100
Practice Address - Fax:443-287-3557
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD070495L2085B0100X, 2085R0202X
NJ25MA072135002085B0100X, 2085R0202X
MDD957192085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging