Individual provider · NPI-1

Aksana Afanasenka, MD

Internal Medicine · Owings Mills, MD

NPI number1306963665
StatusActive
Last updated in NPPESAug 28, 2021

Details

NPI
1306963665
Entity type
Individual (NPI-1)
Name
Aksana Afanasenka
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 23, 2007
Certification date
Aug 28, 2021
Last updated
Aug 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicined0066860MDYes
207R00000X Internal MedicineMT187373PA
208M00000X HospitalistD0066860MD

Practice location

25 Crossroads Dr
Owings Mills, MD 21117-5421

Phone 410-415-5105

Mailing address

6701 N Charles St
Suite 4890
Towson, MD 21204-6808

Phone 443-849-8046 · Fax 443-849-8057

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