Individual
ELIZABETH MENACHERY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-5633
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 933-4397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D57254
MD
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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