MEDICARE: ANNAPOLIS INFECTIOUS DISEASE ASSOCIATES LLP

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	207RI0200X	Infectious Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	R996	OTHER	DC	CAREFIRST BCBS
3	LK63AN	OTHER	MD	CAREFIRST BCBS

General Provider Information

NPI Number	:	1427259654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNAPOLIS INFECTIOUS DISEASE ASSOCIATES LLP

Provider Business Mailing Address
First Line	:	PO BOX 9689
Second Line	:
City	:	ARNOLD
State	:	MD
Zip	:	21012-0689
Country	:	US
Telephone Number	:	410-573-9511
Fax Number	:	410-573-4816

Provider Business Practice Location Address
First Line	:	1127 WEST ST STE 105
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-4284
Country	:	US
Telephone Number	:	410-573-9511
Fax Number	:	410-573-4816

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JENNIFER ARNOLD
Credential	:
Telephone Number	:	410-573-9511

Provider Enumeration Date	:	05/28/2007
Last Update Date	:	05/05/2026

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