Mikdashi, Jamal A

Mikdashi, Jamal A is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Mikdashi, Jamal A can be contacted via phone (410) 706-6474.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Phone: (410) 706-6474
Fax: (410) 706-0231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X D38046 Maryland

Profile Details

NPI number 1891762126
LBN Legal business name Mikdashi, Jamal A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Aug 26th, 2014 - about 12 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 1891762126 NPPES
Maryland Other 525809-02 BLUE CROSS/BLUE SHIELD
Maryland MEDICAID 037523500 BLUE CROSS/BLUE SHIELD
Maryland MEDICAID 1891762126 BLUE CROSS/BLUE SHIELD
Maryland MEDICAID 759111000 BLUE CROSS/BLUE SHIELD

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