Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0092899 | MD |
Y | 111NI0900X | Internist | D0092899 | MD |
NPI | 1003310152 |
---|---|
Provider Name | Mian Mohammad Bilal Khalid |
First Address | Baltimore, MD 21201-1544 |
Second Address | Baltimore, MD 21201-1544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2018 |
Last Update Date | 02/02/2022 |