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NPI Code Detail

MEDICARE: DR. CAWAS M ANTIA M.D.

MEDICARE: DR. CAWAS M ANTIA M.D.
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
1207L00000XAnesthesiology PhysicianD0023163MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M13722OTHERMDCDS NUMBER

General Provider Information

NPI Number : 1144205022
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAWAS M ANTIA M.D.
Provider Business Mailing Address
First Line : 9000 FRANKLIN SQUARE DR
Second Line : 2 NORTH
City : BALTIMORE
State : MD
Zip : 21237-3901
Country : US
Telephone Number : 443-777-7179
Fax Number : 443-777-8242
Provider Business Practice Location Address
First Line : 9000 FRANKLIN SQUARE DR
Second Line : 2 NORTH
City : BALTIMORE
State : MD
Zip : 21237-3901
Country : US
Telephone Number : 443-777-7179
Fax Number : 443-777-8242
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 03/07/2023

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