Individual
AMANDA CAROLINE MAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., M.D.
Contact information
Practice address
6569 N CHARLES ST STE 501, BALTIMORE, MD 21204-5808
(410) 938-8960
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 576-7208
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0091760
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0091760
STATE LICENSE
MD
Enumeration date
04/05/2017
Last updated
11/28/2023
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