Individual
DR. MINAS W GEBRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 430, ANNAPOLIS, MD 21401-3046
(443) 481-1940
(443) 481-1941
Mailing address
201 DEFENSE HWY, SUITE 100, ANNAPOLIS, MD 21401-8943
(443) 481-3354
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D82047
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202108100
—
MD
01
—
X5810006
BCBS
MD
Enumeration date
07/21/2011
Last updated
01/25/2017
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