Provider Demographics
NPI:1174637573
Name:EINHORN, ROLAND C (MD)
Entity Type:Individual
Prefix:DR
First Name:ROLAND
Middle Name:C
Last Name:EINHORN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ICE POND CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1912
Mailing Address - Country:US
Mailing Address - Phone:410-486-0559
Mailing Address - Fax:410-486-0539
Practice Address - Street 1:3 ICE POND CT
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-1912
Practice Address - Country:US
Practice Address - Phone:410-486-0559
Practice Address - Fax:410-486-0539
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD17959207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology