Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mandy Rachuba Criado, PA-C

Individual provider Physician Assistant · NPI 1902955271

Mandy Rachuba Criado, PA-C is a Physician Assistant in Lutherville, Maryland. Qualified in 2005, 21 years ago. Practices with University of Maryland Dermatologists PA, a 16-clinician group. Licensed in Maryland.

Years since qualifying
21
Licensed in
MD
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1447 York Rd Ste 102
Lutherville, MD 21093-6074
Phone: (667) 214-1171
Fax: (410) 337-5107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C03177 (MD)

Record details

NPI number1902955271
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice University Of Maryland Dermatologists Pa — 16 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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