MEDICARE: DR. MICHAEL JOEL ELMAN 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
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	D0032515	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D0032515	OTHER	MD	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760421929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JOEL ELMAN M.D.

Provider Business Mailing Address
First Line	:	9114 PHILADELPHIA ROAD
Second Line	:	SUITE 310
City	:	BALTIMORE
State	:	MD
Zip	:	21237-3936
Country	:	US
Telephone Number	:	410-686-3000
Fax Number	:	410-686-3690

Provider Business Practice Location Address
First Line	:	9114 PHILADELPHIA ROAD
Second Line	:	SUITE 310
City	:	BALTIMORE
State	:	MD
Zip	:	21237-2123
Country	:	US
Telephone Number	:	410-686-3394
Fax Number	:	410-686-3394

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	09/27/2023

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Directions to “ DR. MICHAEL JOEL ELMAN M.D.” Practice Location

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