Healthcare Provider Details

I. General information

NPI: 1245932409
Provider Name (Legal Business Name): ANNA PROHL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF MARYLAND 22 S GREEN ST, ROOM N3E09
BALTIMORE MD
21201
US

IV. Provider business mailing address

UNIVERSITY OF MARYLAND, 22 S GREEN ST, ROOM N3E09
BALTIMORE MD
21201
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-6110
  • Fax:
Mailing address:
  • Phone: 410-328-6110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0107223
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberD0107223
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: