Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D18047 | MD |
N | 111NI0900X | Internist | D18047 | MD |
Y | 207RC0000X | Internist - Cardiovascular Disease | D18047 | MD |
NPI | 1023075538 |
---|---|
Provider Name | Michael Howard Kelemen |
First Address | Baltimore, MD 21264-4250 |
Second Address | Columbia, MD 21045-2300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 08/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
410141300 | (05) | MD |
B69555 | (02) | MD |