Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 82656 | GA |
N | 208600000X | Surgeon | 82656 | GA |
Y | 2086X0206X | Surgical Oncologist | H0091923 | MD |
NPI | 1265847636 |
---|---|
Provider Name | Daria M Abolghasemi |
First Address | Baltimore, MD 21237-3901 |
Second Address | Baltimore, MD 21237-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2014 |
Last Update Date | 31/08/2021 |