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NPI Code Detail

MEDICARE: UNIVERSITY OF MARYLAND ANESTHESIOLOGY ASSOCIATES,P.A.

MEDICARE: UNIVERSITY OF MARYLAND ANESTHESIOLOGY ASSOCIATES,P.A.
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
1207LP2900XPain Medicine (Anesthesiology) Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2K995OTHERMDMEDICARE GROUP NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396779427
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF MARYLAND ANESTHESIOLOGY ASSOCIATES,P.A.
Provider Business Mailing Address
First Line : PO BOX 64374
Second Line :
City : BALTIMORE
State : MD
Zip : 21264-4374
Country : US
Telephone Number : 410-328-6331
Fax Number : 410-328-1674
Provider Business Practice Location Address
First Line : 2200 KERNAN DR
Second Line :
City : GWYNN OAK
State : MD
Zip : 21207-6665
Country : US
Telephone Number : 410-328-6331
Fax Number : 410-328-1674
Authorized Official
Title or Position : DIRECTOR
Name : MRS. KIMBERLY FLAYHART
Credential :
Telephone Number : 410-328-6720
Provider Enumeration Date : 07/11/2006
Last Update Date : 02/18/2026

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