Provider Demographics
NPI:1629606645
Name:KAHWATY, MARGARET ANNE (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:KAHWATY
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 1:8821 COLUMBIA 100 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045
Mailing Address - Country:US
Mailing Address - Phone:410-992-0515
Mailing Address - Fax:410-740-8315
Practice Address - Street 1:8821 COLUMBIA 100 PARKWAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045
Practice Address - Country:US
Practice Address - Phone:410-992-0515
Practice Address - Fax:410-740-8315
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD97919208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD210990500Medicaid