Provider Demographics
NPI:1801928783
Name:MCNEAL, ARNELLE (MD)
Entity type:Individual
Prefix:
First Name:ARNELLE
Middle Name:
Last Name:MCNEAL
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 1:9512 HARFORD RD STE 201
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3125
Mailing Address - Country:US
Mailing Address - Phone:410-882-0600
Mailing Address - Fax:
Practice Address - Street 1:9512 HARFORD RD STE 201
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-3125
Practice Address - Country:US
Practice Address - Phone:410-882-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0073582207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE003249C90Medicare PIN