Provider Demographics
NPI:1710169446
Name:JANLOO, ARMAN (MD)
Entity Type:Individual
Prefix:
First Name:ARMAN
Middle Name:
Last Name:JANLOO
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 1:11515 IAGER BLVD
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5999 HARPERS FARM RD STE W230
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3025
Practice Address - Country:US
Practice Address - Phone:410-383-2250
Practice Address - Fax:410-383-8378
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK27023207Q00000X
MDD0068031207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200253430AMedicaid
OKOK403429Medicare PIN
DC342661YWV2Medicare PIN
MD224014YVZMedicare PIN
MD224014ZDDBMedicare PIN
OK200253430AMedicaid