Healthcare Provider Details

I. General information

NPI: 1245508654
Provider Name (Legal Business Name): JAMIR ARLIKAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2011
Last Update Date: 12/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST HARVEY 319
BALTIMORE MD
21287-0005
US

IV. Provider business mailing address

500 WEST UNIVERSITY PARKWAY APARTMENT 12T
BALTIMORE MD
21210
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-1983
  • Fax:
Mailing address:
  • Phone: 856-986-0372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number85926
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: