Provider Demographics
NPI:1922596527
Name:OWENS, NEFERTARI ALISHA (MD)
Entity type:Individual
Prefix:DR
First Name:NEFERTARI
Middle Name:ALISHA
Last Name:OWENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 CREEKS FARM LN
Mailing Address - Street 2:
Mailing Address - City:CROWNSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21032-2221
Mailing Address - Country:US
Mailing Address - Phone:315-744-0666
Mailing Address - Fax:
Practice Address - Street 1:2401 W BELVEDERE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5216
Practice Address - Country:US
Practice Address - Phone:410-601-5715
Practice Address - Fax:410-601-7005
Is Sole Proprietor?:No
Enumeration Date:2018-04-29
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD210002976207V00000X
VA0101281240207V00000X
NY299445207V00000X
MDD0094721207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology