Whalio Doctors

NPI 1023775830

Malama Medical, LLC

Organisation Addiction Medicine (Preventive Medicine) Physician Baltimore, MD

Practice location

Address
4604 York Rd, Baltimore, MD 21212-4726
Phone
(443) 802-5130

Authorised official

Name
Kimela J Ferguson
Title
Owner/ Nurse Practitioner
Phone
(443) 802-5130

Registered specialties (6)

Addiction Medicine (Preventive Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083A0300X
Addiction Medicine (Psychiatry & Neurology) Physician
Allopathic & Osteopathic Physicians Taxonomy 2084A0401X
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X
Psychiatric Residential Treatment Facility
Residential Treatment Facilities Taxonomy 323P00000X
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X

Registry record

NPI
1023775830
Entity type
Organization
NPI issued
29 Nov 2021
Record last updated
6 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.