MEDICARE: KASHIF MUNIR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	D0059799	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	118914	OTHER	MD	AMERIGROUP
2	F591-0009	OTHER	DC	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	619181-01	OTHER	MD	BLUE CROSS
5	9230020	OTHER	MD	CIGNA
6	2141691	OTHER	MD	UHC/MAMSI
7	3133181	OTHER	MD	AETNA HMO
8	3301094	OTHER	MD	UHC/AMERICHOICE
9	4991	OTHER	MD	BRAVO/ELDER HEALTH
10	7108450	OTHER	MD	AETNA PPO
11	120633	OTHER	MD	JOHNS HOPKINS HEALTH CARE

General Provider Information

NPI Number	:	1063402170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASHIF MUNIR MD

Provider Business Mailing Address
First Line	:	PO BOX 64442
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21264-4442
Country	:	US
Telephone Number	:	410-328-8040
Fax Number	:	443-462-3514

Provider Business Practice Location Address
First Line	:	827 LINDEN AVE
Second Line	:	FLOOR 2 SOUTH
City	:	BALTIMORE
State	:	MD
Zip	:	21201-4606
Country	:	US
Telephone Number	:	443-682-6800
Fax Number	:	443-552-2991

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	01/09/2017

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