Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D54006 | MD |
N | 111NI0900X | Internist | D54006 | MD |
N | 207RG0300X | Geriatric Medicine | D54006 | MD |
Y | 207RH0002X | Hospice and Palliative Medicine | D54006 | MD |
NPI | 1316039076 |
---|---|
Provider Name | Dr. Raya E Kheirbek |
First Address | Baltimore, MD 21264-4442 |
Second Address | Baltimore, MD 21201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/02/2019 |