MEDICARE: UNIVERSITY OF MARYLAND PHYSICIANS P.A.

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
1	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1437968765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF MARYLAND PHYSICIANS P.A.

Provider Business Mailing Address
First Line	:	PO BOX 64442
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21264-4442
Country	:	US
Telephone Number	:	410-328-8040
Fax Number	:	410-328-9191

Provider Business Practice Location Address
First Line	:	9300 LOTTSFORD RD STE 300
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-4886
Country	:	US
Telephone Number	:	240-719-7648
Fax Number	:	240-696-2628

Authorized Official
Title or Position	:	DIRECTOR OF PROFESSIONAL FEES
Name	:	ADAM KAUFMAN
Credential	:
Telephone Number	:	410-328-8040

Provider Enumeration Date	:	01/02/2025
Last Update Date	:	01/02/2025

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Directions to “UNIVERSITY OF MARYLAND PHYSICIANS P.A. ” Practice Location

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