Dr. Michael J. Domanski
Internist Interventional Cardiology Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
22 S Greene St
Baltimore
, Maryland 21201
Dr. Michael J. Domanski
Internist Interventional Cardiology Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
22 S Greene St
Baltimore
, Maryland 21201
(443) 462-3514
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About
Features
Specialties
- Internist
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Dr. Michael J. Domanski
- Po Box 64442
- Baltimore, MD
- Zip : 21264-4442
- Fax : (443) 462-3514
- Phone : (410) 328-8040
Second Address
- Dr. Michael J. Domanski
- 22 S Greene St
- Baltimore, MD
- Zip : 21201
- Fax : (410) 328-1048
- Phone : (410) 328-7877
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | D20933 | MD |
| N | 111NI0900X | Internist | D20933 | MD |
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | D20933 | MD |
| N | 207RC0000X | Internist - Cardiovascular Disease | D20933 | MD |
| N | 207RI0011X | Interventional Cardiology | D20933 | MD |
National Provider Identifier
| NPI | 1780655522 |
|---|---|
| Provider Name | Dr. Michael J. Domanski |
| First Address | Baltimore, MD 21264-4442 |
| Second Address | Baltimore, MD 21201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2006 |
| Last Update Date | 21/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D65058 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.