Provider Demographics
NPI:1710780069
Name:BALTIMORE COMMUNITY MIDWIVES
Entity type:Organization
Organization Name:BALTIMORE COMMUNITY MIDWIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANVI
Authorized Official - Middle Name:
Authorized Official - Last Name:AVASTHI
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:703-868-5407
Mailing Address - Street 1:230 N MILTON AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-1011
Mailing Address - Country:US
Mailing Address - Phone:703-868-5407
Mailing Address - Fax:
Practice Address - Street 1:2123 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-5785
Practice Address - Country:US
Practice Address - Phone:443-616-3017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife