Organization
BALTIMORE ONCOLOGY HEMATOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVITA KALRA (PRESIDENT)
(240) 338-7472
Entity
Organization
Contact information
Practice address
821 N EUTAW ST STE 206, BALTIMORE, MD 21201-6302
(410) 246-4450
(410) 617-8326
Mailing address
5118 HOLLY CREEK LN, CLARKSVILLE, MD 21029-1191
(240) 338-7472
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BK7654076
MD
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
368CBA
BCBS OF MARYLAND
MD
05
—
510806300
—
MD
01
—
K965
FEDERAL BCBS OF DC
—
Enumeration date
05/16/2007
Last updated
08/14/2024
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