Provider Demographics
NPI:1740579911
Name:BEVER, KATHERINE MERYL (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MERYL
Last Name:BEVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR STE 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:410-933-1390
Practice Address - Street 1:1650 ORLEANS ST RM 186
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-955-8893
Practice Address - Fax:410-367-2194
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2018-05-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA258731207R00000X
MDD79318207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine