Provider Demographics
NPI:1356401608
Name:COUZI, RIMA JEAN (MD)
Entity type:Individual
Prefix:
First Name:RIMA
Middle Name:JEAN
Last Name:COUZI
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:PO BOX 79035
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-0035
Mailing Address - Country:US
Mailing Address - Phone:410-337-1386
Mailing Address - Fax:410-337-3998
Practice Address - Street 1:7501 OSLER DRIVE, SUITE 102
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7582
Practice Address - Country:US
Practice Address - Phone:410-427-5585
Practice Address - Fax:410-427-5592
Is Sole Proprietor?:No
Enumeration Date:2006-12-09
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD46988207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG49938Medicare UPIN
KR52673TMedicare ID - Type Unspecified