Individual
PATRICK HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6569 N CHARLES ST STE 401, BALTIMORE, MD 21204-5834
(443) 849-8940
(443) 849-8965
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D63783
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409744100
—
MD
01
—
KG72/64784403
CAREFIRST MARYLAND GBMC
MD
01
—
S1430005
CAREFIRST REGIONAL GBMC
MD
Enumeration date
05/09/2006
Last updated
12/15/2011
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