Provider Demographics
NPI:1437242583
Name:DOWLA, MESBAH U (MD)
Entity Type:Individual
Prefix:DR
First Name:MESBAH
Middle Name:U
Last Name:DOWLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8817 BELAIR ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-2446
Mailing Address - Country:US
Mailing Address - Phone:410-248-9112
Mailing Address - Fax:410-248-9116
Practice Address - Street 1:8817 BELAIR ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-2446
Practice Address - Country:US
Practice Address - Phone:410-248-9112
Practice Address - Fax:410-248-9116
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB69319Medicare UPIN
MD2901Medicare ID - Type Unspecified