Healthcare Provider Details

I. General information

NPI: 1407794191
Provider Name (Legal Business Name): MERYAM LOSEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 ST. PAUL PLACE BUNTING BLDG, 7TH FL
BALTIMORE MD
21202
US

IV. Provider business mailing address

345 ST. PAUL PLACE BUNTING BLDG, 7TH FL
BALTIMORE MD
21202
US

V. Phone/Fax

Practice location:
  • Phone: 410-332-9694
  • Fax:
Mailing address:
  • Phone: 410-332-9694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: