Individual provider · Type 1 NPI
Komal K. Dang, MD
Primary Care Clinic/Center · Baltimore, MD
NPI number
1669443602
Active
Practice location
3455 Wilkens Ave, L 10
Baltimore, MD 21229-5213
Fax (410) 644-4484
Mailing address
11202 Old Carriage Rd
Glen Arm, MD 21057-9415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | D18362 (MD) |
| Primary Care Clinic/Center Primary | 261QP2300X | D0018362 (MD) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1669443602
Komal K. Dang, MD's National Provider Identifier is 1669443602, issued on Jan 28, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Baltimore, MD. The record was last updated on Jun 25, 2019.