# MAHWISH KHURRAM MDPA

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

## Provider details

- **NPI number:** 1952119208
- **Authorized official:** MAHWISH SHAKIL KHURRAM MD (OWNER)
- **Authorized official phone:** (410) 979-4194

## Contact information

- **Practice address:** 9106 PHILADELPHIA RD STE 204, BALTIMORE, MD 21237-4333
- **Practice address phone:** (410) 687-8777
- **Mailing address:** PO BOX 130, GLENELG, MD 21737-0130

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2024
- **Last updated:** 12/19/2024