Basic Information
| Provider Information | |||||||||
| NPI: | 1992857759 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RODNEY P. DONHAM, D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 227 UPPER PIKE CREEK RD | ||||||||
| Address2: | |||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197115955 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103983868 | ||||||||
| FaxNumber: | 4103929289 | ||||||||
| Practice Location | |||||||||
| Address1: | 1881 TELEGRAPH RD | ||||||||
| Address2: | |||||||||
| City: | RISING SUN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 219112018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106586555 | ||||||||
| FaxNumber: | 4103929289 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | DONHAM | ||||||||
| AuthorizedOfficialFirstName: | RODNEY | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4103983868 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | H0058419 | MD | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.