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NPI Code Detail

MEDICARE: KALPANA NMN DE MD

MEDICARE: KALPANA NMN DE 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
1207Q00000XFamily Medicine PhysicianD0059249MD
2208M00000XHospitalist PhysicianD0059249MD

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 : 1942203211
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALPANA NMN DE MD
Provider Business Mailing Address
First Line : 500 UPPER CHESAPEAKE DR
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4324
Country : US
Telephone Number : 443-643-1500
Fax Number : 443-643-1505
Provider Business Practice Location Address
First Line : 500 UPPER CHESAPEAKE DR
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4324
Country : US
Telephone Number : 443-643-1500
Fax Number : 443-643-1505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 09/07/2010

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