Basic Information
| Provider Information | |||||||||
| NPI: | 1609816065 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COUNTS | ||||||||
| FirstName: | DEBRA | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | SINAI HOSPITAL OF BALTIMORE | ||||||||
| Address2: | 2411 W. BELVEDERE AVE, SUITE 205 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106018331 | ||||||||
| FaxNumber: | 4106018859 | ||||||||
| Practice Location | |||||||||
| Address1: | SINAI HOSPITAL OF BALTIMORE | ||||||||
| Address2: | 2411 W. BELVEDERE AVE, SUITE 205 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106018331 | ||||||||
| FaxNumber: | 4106018859 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2006 | ||||||||
| LastUpdateDate: | 02/12/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0205X | D32917 | MD | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology |
ID Information
| ID | Type | State | Issuer | Description | 195931000 | 05 | MD | MEDICAID |