Healthcare Provider Details

I. General information

NPI: 1013005016
Provider Name (Legal Business Name): MARYLAND MEDICAL FIRST P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 CLEMENT AVE
BALTIMORE MD
21234-2603
US

IV. Provider business mailing address

8901 CLEMENT AVE
PARKVILLE MD
21234
US

V. Phone/Fax

Practice location:
  • Phone: 410-661-4670
  • Fax: 410-661-4671
Mailing address:
  • Phone: 410-661-4670
  • Fax: 410-661-4671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NARENDER PAL SINGH BHARAJ
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 410-409-5999