Healthcare Provider Details

I. General information

NPI: 1134333917
Provider Name (Legal Business Name): ARASH KHOIE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 12/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E 33RD ST SUITE 425
BALTIMORE MD
21218-3322
US

IV. Provider business mailing address

200 E 33RD ST SUITE 425
BALTIMORE MD
21218-3322
US

V. Phone/Fax

Practice location:
  • Phone: 410-554-6497
  • Fax: 410-554-6764
Mailing address:
  • Phone: 410-554-6497
  • Fax: 410-554-6764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0072667
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberD0072667
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: