Individual
DR. ORLANDO B CONANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7501 LIBERTY RD, BALTIMORE, MD 21207-3870
(410) 265-5114
(410) 265-8858
Mailing address
5401 OLD COURT RD, ATTN: CREDENTIALING, RANDALLSTOWN, MD 21133-5103
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D19502
MD
207R00000X
Internal Medicine Physician
D19502
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN6601
R/R MEDICARE GROUP #
MD
Enumeration date
03/29/2006
Last updated
11/21/2007
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