Provider Demographics
NPI:1871604256
Name:ARAIN A. WASEEM, M.D., P.A.
Entity type:Organization
Organization Name:ARAIN A. WASEEM, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARAIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WASEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-282-7788
Mailing Address - Street 1:1576 MERRITT BLVD
Mailing Address - Street 2:SUITE S-6
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21222-2132
Mailing Address - Country:US
Mailing Address - Phone:410-282-7788
Mailing Address - Fax:
Practice Address - Street 1:1576 MERRITT BLVD
Practice Address - Street 2:SUITE S-6
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-2132
Practice Address - Country:US
Practice Address - Phone:410-282-7788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD22371207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1196AAOtherCAREFIRST #
MDE180OtherBLUECHOICE
MDE180OtherBLUECHOICE
MD1196AAOtherCAREFIRST #