IndividualActive
Farrukh Jalisi, MD
NPI 1174621346 · Interventional Cardiology Physician · Glen Burnie, MD
Provider details
- NPI number
- 1174621346
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 20266 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Practice location
7845 Oakwood Rd Ste 106
Glen Burnie, MD 21061-4256
Phone: (410) 760-5100
Fax: (410) 760-5932
Approximate (ZIP-level) locationGet directions
Mailing address
7845 Oakwood Rd Ste 106
Glen Burnie, MD 21061-4256
Additional practice locations (2)
- 12502 Willowbrook RdCumberland, MD 21502-6491Phone: (240) 964-8740
- 7601 Osler DrTowson, MD 21204-7700Phone: (410) 427-2580Fax: (410) 427-2581
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2024-12-27
- Certified
- 2024-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.