Provider Demographics
NPI:1568475242
Name:DOWNING, MICHAEL JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:DOWNING
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 1:7845 OAKWOOD ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061
Mailing Address - Country:US
Mailing Address - Phone:410-761-6660
Mailing Address - Fax:410-768-2469
Practice Address - Street 1:7845 OAKWOOD ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061
Practice Address - Country:US
Practice Address - Phone:410-761-6660
Practice Address - Fax:410-768-2469
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD50108207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
367LOtherMBMD
KX44PEOtherBSMD
MD514854500Medicaid
3646OtherHELI
5501472OtherAET
839828OtherMAMS
10168OtherHFRE
1410895OtherUNAT
18249OtherTRAV
44976OtherNY
10111730OtherCIGN
16707011OtherUNIT
552965400OtherMAMD
W715OtherBSDC
839828OtherMAMS
44976OtherNY