Healthcare Provider Details

I. General information

NPI: 1578940581
Provider Name (Legal Business Name): ALBARA MARWA MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2015
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 W BELVEDERE AVE STE 205
BALTIMORE MD
21215-5229
US

IV. Provider business mailing address

2411 W BELVEDERE AVE STE 205
BALTIMORE MD
21215-5229
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-8331
  • Fax: 410-601-8859
Mailing address:
  • Phone: 410-601-8331
  • Fax: 410-601-8859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberD90588
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: