Provider Demographics
NPI:1063402170
Name:MUNIR, KASHIF (MD)
Entity type:Individual
Prefix:
First Name:KASHIF
Middle Name:
Last Name:MUNIR
Suffix:
Gender:M
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 64442
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4442
Mailing Address - Country:US
Mailing Address - Phone:410-328-8040
Mailing Address - Fax:443-462-3514
Practice Address - Street 1:827 LINDEN AVE
Practice Address - Street 2:FLOOR 2 SOUTH
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-4606
Practice Address - Country:US
Practice Address - Phone:443-682-6800
Practice Address - Fax:443-552-2991
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0059799207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD118914OtherAMERIGROUP
DCF591-0009OtherBLUE CROSS
MD401559200Medicaid
MD619181-01OtherBLUE CROSS
MD9230020OtherCIGNA
MD2141691OtherUHC/MAMSI
MD3133181OtherAETNA HMO
MD3301094OtherUHC/AMERICHOICE
MD4991OtherBRAVO/ELDER HEALTH
MD7108450OtherAETNA PPO
MD120633OtherJOHNS HOPKINS HEALTH CARE
DCF591-0009OtherBLUE CROSS
MD201722ZADHMedicare PIN
MD120633OtherJOHNS HOPKINS HEALTH CARE
MD401559200Medicaid