Individual
EKOW MILLS-ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8820 COLUMBIA 100 PKWY STE 100, COLUMBIA, MD 21045-2169
(410) 298-0454
(301) 694-2606
Mailing address
10373A REISTERSTOWN ROAD, CREDENTIALING DEPARTMENT, OWINGS MILLS, MD 21117-3617
(443) 548-7580
(410) 356-4180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0083415
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596702300
—
MD
Enumeration date
05/04/2011
Last updated
07/21/2022
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