Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | D76606 | MD |
N | 2084N0400X | Neurologist | D76606 | MD |
NPI | 1033359336 |
---|---|
Provider Name | Behnam Jafarpour |
First Address | Owings Mills, MD 21117-5273 |
Second Address | Baltimore, MD 21227-1056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2009 |
Last Update Date | 03/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
654802400 | (05) | MD |