# MEDICAL MARYLAND STAR CHOICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770190647
- **Authorized official:** KINAN KNAISH MD (CEO)
- **Authorized official phone:** (410) 383-2250

## Contact information

- **Practice address:** 5999 HARPERS FARM RD STE W230, COLUMBIA, MD 21044-3025
- **Practice address phone:** (410) 383-2250
- **Practice address fax:** (410) 383-8378
- **Mailing address:** 5999 HARPERS FARM RD STE W230, COLUMBIA, MD 21044-3025
- **Mailing address phone:** (410) 383-2250
- **Mailing address fax:** (410) 383-8378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2020
- **Last updated:** 02/08/2023