Individual
DR. EBENEZER KOBINA QUAINOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3350 WILKENS AVE, SUITE 307, BALTIMORE, MD 21229-4600
(410) 368-8317
(410) 368-8319
Mailing address
PO BOX 21068, CATONSVILLE, MD 21228-0568
(410) 368-8317
(410) 368-8319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DOO61765
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405216100
—
MD
05
—
4147675503
—
MD
Enumeration date
09/20/2005
Last updated
04/13/2011
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