Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | D15504 | MD |
NPI | 1104814920 |
---|---|
Provider Name | Dr. Eddie None Nakhuda |
First Address | Baltimore, MD 21204-6735 |
Second Address | Lutherville, MD 21093-2739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2005 |
Last Update Date | 04/01/2010 |