Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | D0023427 | MD |
N | 208600000X | Surgeon | D0023427 | MD |
Y | 2086S0129X | Vascular Surgeon | D0023427 | MD |
NPI | 1154390953 |
---|---|
Provider Name | Dr. Mouhamad O. Annous |
First Address | Towson, MD 21204-7446 |
Second Address | Towson, MD 21204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 23/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
129241200 | (05) | MD |
C57816 | (02) |