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Organization
PARK MEDICAL ASSOCIATES LLC
Active
Organization
PARK MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMEEN MOLAVI M.D. (PRESIDENT)
(104) 583-7112
Entity
Organization
Contact information
Practice address
10755 FALLS RD STE 200, LUTHERVILLE, MD 21093-4520
(410) 583-7111
(410) 583-7128
Mailing address
10755 FALLS RD STE 200, LUTHERVILLE, MD 21093-4520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
207RX0202X
Medical Oncology Physician
—
NULL
207RX0202X
Medical Oncology Physician
—
—
Other
Enumeration date
07/05/2006
Last updated
01/30/2023
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