Provider Demographics
NPI:1245464437
Name:CHOUHFEH, LYNN (MD)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:
Last Name:CHOUHFEH
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 1:1300 YORK ROAD
Mailing Address - Street 2:BLDG. A SUITE 300
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093
Mailing Address - Country:US
Mailing Address - Phone:410-828-4629
Mailing Address - Fax:410-828-4783
Practice Address - Street 1:1300 YORK ROAD
Practice Address - Street 2:BLDG. A SUITE 300
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093
Practice Address - Country:US
Practice Address - Phone:410-828-4629
Practice Address - Fax:410-828-4783
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04362342084N0400X
390200000X
MDD00830062084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD847503200Medicaid