Wellformed AI

NPI 1780555300 · live from the CMS NPI Registry

Manal Ahsan

Physician Assistant in Baltimore, MD. National Provider Identifier 1780555300, active.

NPI record

NPI1780555300 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location520 W Fayette St Ste 300, Baltimore, MD 21201
Practice phone000-000-0000
Mailing address6201 Greenleigh Ave, Middle River, MD 21220
EnumeratedSeptember 16, 2025
Last updatedSeptember 28, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000XC0010544 (MD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.