Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | D23085 | MD |
NPI | 1013963420 |
---|---|
Provider Name | Pamela Ouyang |
First Address | Baltimore, MD 21264-4250 |
Second Address | Baltimore, MD 21224-2735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 14/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
788201700 | (05) | MD |
B67127 | (02) | MD |