Organization
MUMTAZ B. MEHOOB
Active
Other names
40 West Walk In Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUMTAZ BANU MEHBOOB M.D. (PRESIDENT)
(410) 465-6300
Entity
Organization
Contact information
Practice address
8455 BALTIMORE NATIONAL PIKE, SUITE C, ELLICOTT CITY, MD 21043-4208
(410) 465-6300
(410) 465-1943
Mailing address
8455 BALTIMORE NATIONAL PIKE, SUITE C, ELLICOTT CITY, MD 21043-4208
(410) 465-6300
(410) 465-1943
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2006
Last updated
08/22/2020
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