Organization
MEDICAL MARYLAND STAR CHOICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINAN KNAISH MD (CEO)
(410) 383-2250
Entity
Organization
Contact information
Practice address
5999 HARPERS FARM RD STE W230, COLUMBIA, MD 21044-3025
(410) 383-2250
(410) 383-8378
Mailing address
5999 HARPERS FARM RD STE W230, COLUMBIA, MD 21044-3025
(410) 383-2250
(410) 383-8378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
02/08/2023
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