Provider Demographics
NPI:1992048276
Name:MINKOVE, NICOLE M (MD)
Entity type:Individual
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First Name:NICOLE
Middle Name:M
Last Name:MINKOVE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:515 FAIRMOUNT AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-8518
Mailing Address - Country:US
Mailing Address - Phone:410-486-7264
Mailing Address - Fax:410-584-2257
Practice Address - Street 1:1838 GREENE TREE RD STE 250
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-7108
Practice Address - Country:US
Practice Address - Phone:410-486-7264
Practice Address - Fax:410-584-2257
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2020-12-07
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Provider Licenses
StateLicense IDTaxonomies
MDD0086886207RC0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease