Provider Demographics
NPI:1144205022
Name:ANTIA, CAWAS M (MD)
Entity Type:Individual
Prefix:DR
First Name:CAWAS
Middle Name:M
Last Name:ANTIA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9000 FRANKLIN SQUARE DR
Mailing Address - Street 2:2 NORTH
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3901
Mailing Address - Country:US
Mailing Address - Phone:443-777-7179
Mailing Address - Fax:443-777-8242
Practice Address - Street 1:9000 FRANKLIN SQUARE DR
Practice Address - Street 2:2 NORTH
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3901
Practice Address - Country:US
Practice Address - Phone:443-777-7179
Practice Address - Fax:443-777-8242
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-13
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
MDD0023163207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM13722OtherCDS NUMBER
MDAA9263687OtherDEA NUMBER
MDD74487Medicare UPIN