Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | D0075718 | MD |
Y | 207RA0201X | Internist - Allergy & Immunology | D0075718 | MD |
NPI | 1548571607 |
---|---|
Provider Name | Alireza Sadegh Nejad |
First Address | Hunt Valley, MD 21065-9998 |
Second Address | Hunt Valley, MD 21065-9998 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2010 |
Last Update Date | 28/09/2020 |