Healthcare Provider Details

I. General information

NPI: 1932408424
Provider Name (Legal Business Name): LAURA ESKANDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2011
Last Update Date: 06/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 N CHARLES ST
TOWSON MD
21204-6819
US

IV. Provider business mailing address

212 WASHINGTON AVE APT 1112
TOWSON MD
21204-4700
US

V. Phone/Fax

Practice location:
  • Phone: 301-788-0878
  • Fax:
Mailing address:
  • Phone: 301-788-0878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0079032
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: