Provider Demographics
NPI:1437492238
Name:MORRIS, MICHAEL ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:331 OAK MANOR DR STE 201
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-5555
Mailing Address - Country:US
Mailing Address - Phone:443-333-1894
Mailing Address - Fax:410-886-6991
Practice Address - Street 1:331 OAK MANOR DR STE 201
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5555
Practice Address - Country:US
Practice Address - Phone:443-333-1894
Practice Address - Fax:410-886-6991
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0082170207U00000X, 2083C0008X, 2085R0202X
NY2927412085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No2083C0008XAllopathic & Osteopathic PhysiciansPreventive MedicineClinical Informatics