Individual
DR. MOHAMED MOUBAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-1000
Mailing address
PO BOX 64916, BALTIMORE, MD 21264-4916
(443) 481-6573
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0046569
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009
CAREFIRST BCBS
MD
01
—
110199928
RR MEDICARE
MD
05
—
218441900
—
MD
01
—
53399803
CAREFIRST BCBS
MD
Enumeration date
07/27/2005
Last updated
11/28/2007
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