Individual
KAREN TRENT-MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 W ROLLING CROSSROADS, SUITE 100, BALTIMORE, MD 21228-6280
(410) 869-0100
(410) 869-0460
Mailing address
6401 DEER PARK RD, REISTERSTOWN, MD 21136-5912
(410) 833-4741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0026923
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032
CAREFIRST DC
—
01
—
039557
JOHNS HOPKINS HEALTHCARE
—
01
—
0713092
UNITED HEALTHCARE
—
01
—
2331062
AETNA HMO
—
01
—
281961
MAMSI
—
01
—
4515143002
CIGNA
—
01
—
52053501
CAREFIRST MARYLAND
—
01
—
7065116
AETNA PPO
—
05
—
93484
—
MD
Enumeration date
07/17/2006
Last updated
07/09/2007
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