Individual
ANNIE WAN BISHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11118 POOL RD, HUNT VALLEY, MD 21030-1517
(410) 785-1747
Mailing address
11118 POOL RD, HUNT VALLEY, MD 21030-1517
(410) 785-1747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0051150
MD
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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