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Organization

PARK MEDICAL ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAMEEN MOLAVI M.D. (PRESIDENT)
(104) 583-7112
Entity
Organization

Contact information

Practice address
10755 FALLS RD STE 200, LUTHERVILLE, MD 21093-4520
(410) 583-7111
(410) 583-7128
Mailing address
10755 FALLS RD STE 200, LUTHERVILLE, MD 21093-4520

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RG0100X
Gastroenterology Physician
207RX0202X
Medical Oncology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117703600
MD
Enumeration date
07/05/2006
Last updated
01/30/2023
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