Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | D22371 | MD |
NPI | 1043321417 |
---|---|
Provider Name | Arain A. Waseem |
First Address | Baltimore, MD 21222-2132 |
Second Address | Baltimore, MD 21222-2132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 03/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040009038 | RAILROAD MEDICARE # (01) | MD |
1196AA | CAREFIRST MARYLAND # (01) | MD |
792941200 | (05) | MD |
B66962 | (02) | MD |
E180 | BLUECHOICE MARYLAND # (01) | MD |