Individual
MR. AYMAN KHADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(956) 296-1590
(956) 389-4603
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0093471
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2019
Last updated
06/14/2023
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