Organization
MOUHAMAD O. ANNOUS, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUHAMAD O. ANNOUS MD (PRESIDENT)
(410) 323-9214
Entity
Organization
Contact information
Practice address
7801 YORK RD STE 240, TOWSON, MD 21204
(410) 323-9214
(410) 323-9215
Mailing address
7801 YORK RD STE 240, TOWSON, MD 21204-7446
(410) 323-9214
(410) 323-9215
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D0023427
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129241200
—
MD
01
—
KEP5/35191001
BLUE SHIELD
MD
Enumeration date
10/11/2007
Last updated
05/23/2018
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