Mohamed Abdelaty
Individual provider Active NPI Pharmacist · Catonsville, MD
NPI 1215317367 · NPPES record last updated Jun 4, 2015
Key facts
- NPI
- 1215317367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22340 (MD)
- Practice address
- 5624 Baltimore National Pike
Catonsville, MD 21228-1401 - Phone
- (410) 719-7608
- NPI assigned
- Jun 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22340 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22340 | MD | Yes |
Addresses
Primary practice location
5624 Baltimore National Pike
Catonsville, MD 21228-1401
Mailing address
5624 Baltimore National Pike
Catonsville, MD 21228-1401
Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.