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MS. NICOLE ANGELA RIZKALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1800 ORLEANS ST # 6208, BALTIMORE, MD 21287-0010
(410) 955-8465
(410) 955-0994
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D74646
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
D74646
MD
207LP3000X
Pediatric Anesthesiology Physician
D74646
MD
208000000X
Pediatrics Physician
A98426
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
056006500
MD
01
D74646
MARYLAND LICENSE
MD
Enumeration date
02/05/2008
Last updated
05/06/2022
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