Individual
CATHY KIM LARRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1040 PARK AVE STE 200, BALTIMORE, MD 21201-5634
(443) 738-0300
Mailing address
1040 PARK AVE STE 200, BALTIMORE, MD 21201-5634
(443) 738-0300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101259276
VA
207R00000X
Internal Medicine Physician
MD045465
DC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D0079850
MD
Other
Enumeration date
03/30/2011
Last updated
03/10/2021
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