Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 607 | MD |
Y | 222Z00000X | Podiatrist | 607 | MD |
N | 213EP0504X | Public Medicine | 607 | MD |
N | 213EP1101X | Primary Podiatric Medicine | 607 | MD |
N | 111NR0200X | Radiology | 607 | MD |
N | 213ER0200X | Radiology | 607 | MD |
N | 2081S0010X | Sports Medicine | 607 | MD |
N | 213ES0000X | Sports Medicine | 607 | MD |
N | 213ES0103X | Foot & Ankle Surgery | 607 | MD |
N | 213ES0131X | Foot Surgery | 607 | MD |
NPI | 1669427472 |
---|---|
Provider Name | Dr. Brian Kashan |
First Address | Baltimore, MD 21215-2304 |
Second Address | Baltimore, MD 21215-2304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 04/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
255528000 | (05) | MD |
T59818 | (02) |