Provider Demographics
NPI:1619170495
Name:BUCHANAN, MARY KATHRYN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY KATHRYN
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 YORK RD
Mailing Address - Street 2:SUITE 285
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4251
Mailing Address - Country:US
Mailing Address - Phone:410-308-8484
Mailing Address - Fax:
Practice Address - Street 1:2080 YORK RD
Practice Address - Street 2:SUITE 285
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-4251
Practice Address - Country:US
Practice Address - Phone:410-308-8484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257118-1207V00000X
MDD0076909207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology