Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D0065308 | MD |
N | 111NI0900X | Internist | D0065308 | MD |
Y | 207RH0000X | Hematologist | D65308 | MD |
NPI | 1457562753 |
---|---|
Provider Name | Dr. Ashkan Emadi |
First Address | Baltimore, MD 21264-2602 |
Second Address | Baltimore, MD 21201-1544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 07/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
415628500 | (05) | MD |