Provider Demographics
NPI:1609278902
Name:KONBAZ, FAISAL MOHAMMEDSALEH M (MBBS)
Entity Type:Individual
Prefix:
First Name:FAISAL
Middle Name:MOHAMMEDSALEH M
Last Name:KONBAZ
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 NORTH CAROLINE STREET JHOC 5215
Mailing Address - Street 2:JOHNS HOPKINS DEPARTMENT OF ORTHOPAEDICS SURGERY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0882
Mailing Address - Country:US
Mailing Address - Phone:410-955-9300
Mailing Address - Fax:
Practice Address - Street 1:601 NORTH CAROLINE STREET JHOC 5215
Practice Address - Street 2:JOHNS HOPKINS DEPARTMENT OF ORTHOPAEDICS SURGERY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0882
Practice Address - Country:US
Practice Address - Phone:410-955-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program