Individual
HASAN IMANLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
821 N EUTAW ST STE 308, BALTIMORE, MD 21201-6303
(410) 383-2072
(410) 383-0054
Mailing address
821 N EUTAW ST STE 308, BALTIMORE, MD 21201-6303
(410) 383-2072
(410) 383-0054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0090861
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2018
Last updated
07/30/2021
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