Fang, Beverly J.

Fang, Beverly J. is an individual health care provider with primary practice located at 22 S Greene St Mstf 800, Baltimore MD 21201-1544. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Fang, Beverly J. can be contacted via phone (410) 706-4771.

Contact Information

Primary practice address
22 S Greene St Mstf 800 Baltimore MD 21201-1544
Phone: (410) 706-4771
Fax: (410) 706-0345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X D65060 Maryland
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A 113011 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D 65060 Maryland

Profile Details

NPI number 1548390271
LBN Legal business name Fang, Beverly J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Mar 24th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548390271 NPPES
Maryland MEDICAID 440038100
Maryland Other S062-0566

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