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Organization

MARYLAND KIDNEY GROUP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KHALID K AL-TALIB MD (HEAD PHYSICIAN)
(443) 559-5063
Entity
Organization

Contact information

Practice address
6830 HOSPITAL DR, SUITE 204, BALTIMORE, MD 21237-4373
(443) 559-5063
(443) 559-5078
Mailing address
6830 HOSPITAL DR, SUITE 204, BALTIMORE, MD 21237-4373
(443) 559-5063
(443) 559-5078

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
787830300
MD
Enumeration date
04/18/2006
Last updated
12/27/2016
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