Fang, Beverly J.
Fang, Beverly J. is an individual health care provider with primary practice located at 22 S Greene St Mstf 800, Baltimore MD 21201-1544. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Fang, Beverly J. can be contacted via phone (410) 706-4771.Contact Information
Primary practice address
22 S Greene St Mstf 800
Baltimore MD 21201-1544
Phone: (410) 706-4771
Fax: (410) 706-0345
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | D65060 | Maryland |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A 113011 | California |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D 65060 | Maryland |
Profile Details
NPI number | 1548390271 |
---|---|
LBN Legal business name | Fang, Beverly J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 6th, 2007 |
Last updated | Mar 24th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548390271 | NPPES |
Maryland | MEDICAID | 440038100 | |
Maryland | Other | S062-0566 |
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