Provider Demographics
NPI:1770385262
Name:KAMALIAN, AIDA (MD-MPH)
Entity type:Individual
Prefix:
First Name:AIDA
Middle Name:
Last Name:KAMALIAN
Suffix:
Gender:
Credentials:MD-MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3905 BANK ST APT 408
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-2564
Mailing Address - Country:US
Mailing Address - Phone:443-599-5359
Mailing Address - Fax:
Practice Address - Street 1:4940 EASTERN AVENUE; INTERNAL MEDICINE CLINIC
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224
Practice Address - Country:US
Practice Address - Phone:410-550-3350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program