Organization
ANIL UBEROI MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERNINA W GRADY (PRACTICE MANAGER)
(410) 366-1101
Entity
Organization
Contact information
Practice address
4419 FALLS RD, SUITE A, BALTIMORE, MD 21211-1226
(410) 366-1101
(410) 366-0897
Mailing address
1507 NEAR THICKET LN, STEVENSON, MD 21153-0667
(410) 366-1101
(410) 366-0897
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0026748
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271621600
—
MD
Enumeration date
08/19/2010
Last updated
08/19/2010
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