MEDICARE: DR. NAJI JOSEPH HAROUN 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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	D0019133	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	323490	OTHER	MD	CAREFIRST
2	1037520	OTHER	MD	CAQH

General Provider Information

NPI Number	:	1780656355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAJI JOSEPH HAROUN MD

Provider Business Mailing Address
First Line	:	9601 PULASKI PARK DR
Second Line	:	SUITE 416
City	:	BALTIMORE
State	:	MD
Zip	:	21220-1409
Country	:	US
Telephone Number	:	410-933-5678
Fax Number	:	410-933-1823

Provider Business Practice Location Address
First Line	:	901 EASTERN BLVD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21221-3416
Country	:	US
Telephone Number	:	410-682-5500
Fax Number	:	410-686-3803

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	05/28/2015

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