Individual
DR. MARIAM MOIZ KHAMBATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6979
(410) 328-4430
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-6979
(410) 328-4430
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D0062074
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036544200
—
DC
05
—
405906900
—
MD
01
—
64265201
BC/BS
MD
Enumeration date
04/06/2006
Last updated
08/20/2010
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