Individual provider · Type 1 NPI

Michelle Carolina Carvajal Villalba, MD

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1235889114 Active

Practice location

600 N Wolfe St
Baltimore, MD 21287-0005

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X0194 (MD)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235889114

Michelle Carolina Carvajal Villalba, MD's National Provider Identifier is 1235889114, issued on Mar 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Jul 17, 2024.