Individual
RUBY OOMMEN MONICHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5500 KNOLL NORTH DR STE 370, COLUMBIA, MD 21045-2393
(410) 837-2050
Mailing address
5500 KNOLL NORTH DR STE 370, COLUMBIA, MD 21045-2393
(410) 837-2050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0093723
MD
Other
Enumeration date
03/21/2019
Last updated
08/11/2022
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