Healthcare Provider Details

I. General information

NPI: 1851307714
Provider Name (Legal Business Name): GEORGE VRANIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 N CHARLES ST #402
BALTIMORE MD
21204
US

IV. Provider business mailing address

6565 N CHARLES ST #402
BALTIMORE MD
21204
US

V. Phone/Fax

Practice location:
  • Phone: 410-828-7100
  • Fax: 410-828-7165
Mailing address:
  • Phone: 410-828-7100
  • Fax: 410-828-7165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberD0037091
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: