Samia Azhar
Individual provider Active NPI General Practice Dentistry · Elkridge, MD
NPI 1720136252 · NPPES record last updated May 7, 2013
Key facts
- NPI
- 1720136252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 13217 (MD)
- Practice address
- 6020 Meadowridge Center Dr
Elkridge, MD 21075-6088 - Phone
- (410) 782-3124
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 13217 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13217 | MD | Yes |
Addresses
Primary practice location
6020 Meadowridge Center Dr
Elkridge, MD 21075-6088
Mailing address
6020 Meadowridge Center Dr
Elkridge, MD 21075-6088
Phone (410) 782-3124
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- Ati Holdings, LLC
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- Audit & Align Company
- Angela Awuah
- Kevin Ayensu
- Morounke Olusola Babalola
- Patricia Jackson Babcock
- Laura Ann Back-Brehm
- Backpack Medical Group of KS Association
- Backpack Medical Group, P.C.
All providers in Elkridge, MD · General Practice Dentistry in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2013. 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.