Individual
NOMAN THANWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
503 BYRN ST STE 1, CAMBRIDGE, MD 21613-1917
(410) 221-7770
(410) 221-7863
Mailing address
503 BYRN ST STE 1, CAMBRIDGE, MD 21613-1917
(410) 221-7770
(410) 221-7863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D47924
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102800600
—
MD
01
—
110202098
RR MEDICARE
MD
01
—
68620302
CAREFIRST BS
MD
01
—
E6360003
FEDERAL BS
—
Enumeration date
10/14/2005
Last updated
11/01/2011
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