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Individual

MICHELLE LYNN BAHRAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
9000 FRANKLIN SQUARE DR DEPT OF, BALTIMORE, MD 21237-3901
(443) 802-7620
(410) 780-4060
Mailing address
12212 RUNNING FENCE LN, CLARKSVILLE, MD 21029-1194
(443) 802-7620

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
H0057147
MD
207RI0200X
Infectious Disease Physician
Primary
H57147
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
405157200
MD
Enumeration date
04/18/2006
Last updated
12/09/2021
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