Healthcare Provider Details

I. General information

NPI: 1225353865
Provider Name (Legal Business Name): KATHERINE ANN MAHER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 02/16/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 THOMAS JOHNSON DR STE 250
FREDERICK MD
21702-4314
US

IV. Provider business mailing address

2730 UNIVERSITY BLVD W STE 310
WHEATON MD
20902-1990
US

V. Phone/Fax

Practice location:
  • Phone: 301-942-7600
  • Fax: 301-694-0187
Mailing address:
  • Phone: 301-942-7600
  • Fax: 301-942-3521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberD0088133
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: