Individual
EDWIN N. TENALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-2882
(410) 328-2977
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-2882
(410) 328-2977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C03271
MD
Other
Enumeration date
06/02/2006
Last updated
05/23/2019
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