Individual
MICHELLE M. A. IGBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 S PACA ST, BALTIMORE, MD 21201-1642
(410) 328-4931
Mailing address
110 S PACA ST, BALTIMORE, MD 21201-1642
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
280862
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2012
Last updated
01/29/2016
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