Provider Demographics
NPI:1861783243
Name:TALEBI QUJE, EBRAHIM (MD)
Entity type:Individual
Prefix:DR
First Name:EBRAHIM
Middle Name:
Last Name:TALEBI QUJE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 GEIPE ROAD
Mailing Address - Street 2:SUTIE 200
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228
Mailing Address - Country:US
Mailing Address - Phone:410-744-0661
Mailing Address - Fax:410-744-8036
Practice Address - Street 1:700 GEIPE ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228
Practice Address - Country:US
Practice Address - Phone:410-744-0661
Practice Address - Fax:410-744-8036
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0077582207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology