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NPI Code Detail

MEDICARE: CHARLES ANIM BERKO M. D.

MEDICARE: CHARLES ANIM BERKO M. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianD0082420MD
2207R00000XInternal Medicine PhysicianD0082420MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114363819
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES ANIM BERKO M. D.
Provider Business Mailing Address
First Line : PO BOX 5827
Second Line :
City : PIKESVILLE
State : MD
Zip : 21282-5827
Country : US
Telephone Number : 443-417-3075
Fax Number :
Provider Business Practice Location Address
First Line : 2200 KERNAN DR
Second Line :
City : GWYNN OAK
State : MD
Zip : 21207-6665
Country : US
Telephone Number : 410-448-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2013
Last Update Date : 04/18/2026

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