Basic Information
Provider Information
NPI: 1639505696
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHOO
FirstName: DESI
MiddleName: PHILLIP
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 601 N CAROLINE ST
Address2: JOHNS HOPKINS OUTPATIENT CENTER 6TH FLOOR
City: BALTIMORE
State: MD
PostalCode: 212870006
CountryCode: US
TelephoneNumber: 4109551686
FaxNumber:  
Practice Location
Address1: 601 N CAROLINE ST
Address2: JOHNS HOPKINS OUTPATIENT CENTER 6TH FLOOR
City: BALTIMORE
State: MD
PostalCode: 212870006
CountryCode: US
TelephoneNumber: 4109551686
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/23/2013
LastUpdateDate: 02/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000XD90529MDY Allopathic & Osteopathic PhysiciansOtolaryngology 

No ID Information.


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