Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D61804 | MD |
N | 111NI0900X | Internist | D61804 | MD |
Y | 207RA0201X | Internist - Allergy & Immunology | D61804 | MD |
NPI | 1457385601 |
---|---|
Provider Name | Monika Korff |
First Address | Baltimore, MD 21264-4264 |
Second Address | Baltimore, MD 21224-6821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 09/07/2015 |