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RAM RECOVERY NPI 1922623313


NPI Information

NPI: 1922623313
Provider Name: RAM RECOVERY
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 21D2243984

Address:
3455 WILKENS AVE STE 100
BALTIMORE, MD
ZIP 21229
Phone: (240) 447-8036
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RAM RECOVERY is an addiction medicine internal medicine in Baltimore, MD. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. RAM RECOVERY NPI is 1922623313. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3455 WILKENS AVE STE 100
BALTIMORE, MD
ZIP 21229-204
Phone: (240) 447-8036
Fax: (240) 213-2335

The provider's authorized official is Jameela Mitchell .
The authorized official title is Nurse Practitioner and has the following contact phone number (443) 300-6757.

The CLIA number assigned to this NPI record is 21D2243984 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2020 and was last updated on 6/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
2208D00000XGeneral PracticeNo
3363LA2200XNurse PractitionerAdult HealthNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
5207RA0401XInternal MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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