Ghandour, Elias Camille

Ghandour, Elias Camille is an individual health care provider with primary practice located at 5601 Loch Raven Blvd Ste 3, Baltimore MD 21239-2905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ghandour, Elias Camille can be contacted via phone (443) 444-3775.

Contact Information

Primary practice address
5601 Loch Raven Blvd Ste 3 Baltimore MD 21239-2905
Phone: (443) 444-3775
Fax: (443) 444-4678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X D0035706 Maryland

Profile Details

NPI number 1306842059
LBN Legal business name Ghandour, Elias Camille
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated May 19th, 2010 - about 16 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 1306842059 NPPES
Maryland Other 52322301 BLUE SHIELD
Maryland MEDICAID 206901200 BLUE SHIELD

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