Healthcare Provider Details

I. General information

NPI: 1366448953
Provider Name (Legal Business Name): AYANNA L JAMES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 06/23/2021
Certification Date: 06/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 MEDICAL PKWY SUITE 635
ANNAPOLIS MD
21401-3046
US

IV. Provider business mailing address

PO BOX 12622
BELFAST ME
04915-4017
US

V. Phone/Fax

Practice location:
  • Phone: 410-224-1133
  • Fax: 410-266-1639
Mailing address:
  • Phone: 443-481-6524
  • Fax: 443-481-6515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD0057414
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: