Individual
ARUN A MAVANUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W BELVEDERE AVE, 1ST FLOOR MAIN, BALTIMORE, MD 21215-5216
(410) 601-8317
(410) 601-9345
Mailing address
2401 W BELVEDERE AVE, 1ST FLOOR MAIN, BALTIMORE, MD 21215-5216
(410) 601-8317
(410) 601-9345
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
D0071274
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0071274
STATE LICENSE
MD
Enumeration date
06/14/2007
Last updated
08/31/2010
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