Individual
DR. IBRAHIM ELSAMANOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(410) 554-2000
Mailing address
201 E. UNIVERSITY PARKWAY, 33RD STREET PROFESSIONAL BUILDING, SUITE #425, BALTIMORE, MD 21218-2829
(410) 554-2724
(410) 261-8598
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0032500
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
D0032500
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279881600
—
MD
Enumeration date
11/17/2005
Last updated
10/25/2012
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