Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0216X | Pediatric Rheumatologist | R211756 | MD |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | R211756 | MD |
NPI | 1033782719 |
---|---|
Provider Name | Dr. Amanda Victoria Arjoon |
First Address | Edgewood, MD 21040-1817 |
Second Address | Baltimore, MD 21287-0005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2021 |
Last Update Date | 23/08/2021 |