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NPI Code Detail

MEDICARE: MS. RUBAB RUBY PANJU-MERALI FNP

MEDICARE: MS. RUBAB RUBY PANJU-MERALI FNP
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
1363LF0000XFamily Nurse Practitioner1010065771VT
2363LF0000XFamily Nurse PractitionerR253224MD
3363LF0000XFamily Nurse PractitionerRN1045319DC

General Provider Information

NPI Number : 1346566403
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RUBAB RUBY PANJU-MERALI FNP
Provider Business Mailing Address
First Line : 6201 GREENLEIGH AVE
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-2004
Country : US
Telephone Number : 410-933-4380
Fax Number :
Provider Business Practice Location Address
First Line : 6201 GREENLEIGH AVE
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-2004
Country : US
Telephone Number : 410-933-4380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2010
Last Update Date : 10/02/2024

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