Provider Demographics
NPI:1114900313
Name:PARIS, CAROL ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANN
Last Name:PARIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2252
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-8252
Mailing Address - Country:US
Mailing Address - Phone:301-997-1494
Mailing Address - Fax:301-997-1497
Practice Address - Street 1:41625 PARK AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-8252
Practice Address - Country:US
Practice Address - Phone:301-997-1494
Practice Address - Fax:301-997-1497
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00539072084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD048671000Medicaid
MD1011932OtherCIGNA
MD710931172OtherONE HEALTH PLAN
MD710931172OtherUNITED BEHAVIORAL HEALTH
MD710931172OtherHEALTHNET
MD231008000OtherMAGELLAN
MD366674OtherMDIPA
MD710931172OtherPHCS
MD201092OtherMANAGED HEALTH NETWORK
MD68611908OtherBC/BS OF MARYLAND
MD060402OtherVALUE OPTIONS
MD366674OtherOPTIMUM CHOICE
MDM377OtherBC/BS NAT'L CAP AREA
MD11862OtherJOHNS HOPKINS HEALTHCARE
MD366674OtherALLIANCE
MDPV94571OtherAMERICAN PSYCH SERVICES
MD710931172OtherUNITED BEHAVIORAL HEALTH
MDM46888Medicare UPIN