Provider Demographics
NPI:1396988812
Name:AMJAD, HALIMA (MD)
Entity type:Individual
Prefix:
First Name:HALIMA
Middle Name:
Last Name:AMJAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5200 EASTERN AVE
Mailing Address - Street 2:DIVISION OF GERIATRIC MEDICINE, MFL CENTER TOWER 7TH FL
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-2734
Mailing Address - Country:US
Mailing Address - Phone:410-550-8669
Mailing Address - Fax:410-550-8701
Practice Address - Street 1:5300 ALPHA COMMONS DR
Practice Address - Street 2:4TH FLOOR MEMORY CLINIC
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2764
Practice Address - Country:US
Practice Address - Phone:410-550-6337
Practice Address - Fax:410-550-8701
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0075931207R00000X
MDD75931207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine