Maryland Sleep Medicine Specialist , LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

D0067539 Issued in MD

Legal business name

MARYLAND SLEEP MEDICINE SPECIALIST , LLC

Practice address

660 Kenilworth Dr
Suite 203,
Towson, MD 21204-2313

Phone

(410) 296-5544

Fax

(410) 296-5535

NPI assigned

Dec 23, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Khaleel Mohammed Ahmed, MD

Title

Owner

Phone

(443) 850-8736

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1801217591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLEN WILTON CT",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282506",
            "telephone_number": "443-850-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 KENILWORTH DR",
            "address_2": "SUITE 203,",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042313",
            "telephone_number": "410-296-5544",
            "fax_number": "410-296-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND SLEEP MEDICINE SPECIALIST , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "KHALEEL",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-850-8736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MD",
            "license": "D0067539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carey M Marzicola, P.A.
• Ross Mascara

• Sleep Medicine (Internal Medicine) Physician in Towson, MD
• Providers in Towson, MD by specialty
• Sleep Medicine (Internal Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.