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General NPI Number Information
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NPI Number | 1285603498
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Entity Type | Individual
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Provider Name | RAJA E AYASH M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 09/20/2012
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Provider Practice Location Address
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Address Line | 3333 N CALVERT ST SUITE 650
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City | BALTIMORE
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State | MD
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Zip | 21218-2867
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Country | US
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Telephone | 410-467-4470
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Fax | 410-467-4877
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Provider Business Mailing Address
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Address Line | 400 REDLAND CT SUITE 208
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3290
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Country | US
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Telephone | 410-494-7921
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Fax | 410-902-8247
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | D0020111
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License Number State | MD
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