Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | D81381 | MD |
Y | 207YP0228X | Pediatric Otolaryngology | D81381 | MD |
NPI | 1558672709 |
---|---|
Provider Name | Dr. Amal Isaiah |
First Address | Baltimore, MD 21201-1606 |
Second Address | Baltimore, MD 21201-1606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 18/03/2019 |