Individual
MYLA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0030989
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008203100
—
MD
01
—
0403153
EVERCARE
—
01
—
093N-411710-03
CAREFIRST BCBS OF MD
—
05
—
363271700
—
MD
01
—
41171003
BCBS
MD
01
—
KGO1ER-411710-03
CAREFIRST BCBS OF MD
—
01
—
T016-0002
BCBS-DC
—
Enumeration date
02/19/2006
Last updated
07/28/2026
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