Individual
ABUTALEB A. EJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-5720
(410) 328-5685
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D41682
MD
207RN0300X
Nephrology Physician
0101264739
VA
207RN0300X
Nephrology Physician
Primary
D41682
MD
207RN0300X
Nephrology Physician
ME67226
FL
Other
Enumeration date
06/09/2006
Last updated
04/12/2023
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