Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | D87246 | MD |
NPI | 1003259607 |
---|---|
Provider Name | Dr. Usama Daimee |
First Address | Baltimore, MD 21236-4902 |
Second Address | Baltimore, MD 21287 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2013 |
Last Update Date | 13/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D87246 | LICENSE (01) | MD |