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NPI Code Detail

MEDICARE: TALHA EJAZ ANWAR MD

MEDICARE: TALHA EJAZ ANWAR 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
1207R00000XInternal Medicine Physician1015625MA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1194342642
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALHA EJAZ ANWAR MD
Provider Business Mailing Address
First Line : 6201 GREENLEIGH AVE
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-2004
Country : US
Telephone Number : 410-933-6423
Fax Number :
Provider Business Practice Location Address
First Line : 600 N WOLFE STREET
Second Line :
City : BALTIMORE
State : MD
Zip : 21264-6110
Country : US
Telephone Number : 410-955-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2020
Last Update Date : 05/05/2024

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Directions to “ TALHA EJAZ ANWAR MD” Practice Location

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