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Individual

DR. MARLENE NELMA MAHIPAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
5310 OLD COURT RD, SUITE 301, RANDALLSTOWN, MD 21133-5243
(410) 655-8900
(410) 655-0498
Mailing address
5310 OLD COURT RD, SUITE 301, RANDALLSTOWN, MD 21133-5243
(410) 655-8900
(410) 655-0498

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S02090
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101943
PRIORITY PARTNERS AND EHP
MD
01
4J6260001
BLUE CROSS BLUE SHIELD
DC
01
666069
ACN GROUP
MD
01
7491554
AETNA
MD
Enumeration date
01/19/2007
Last updated
07/08/2007
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