Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | D69498 | MD |
Y | 2080P0202X | Pediatric Cardiologist | D69488 | MD |
N | 2080P0202X | Pediatric Cardiologist | MD2021-0948 | NM |
NPI | 1144263054 |
---|---|
Provider Name | Dr. Iran Sadr |
First Address | Westminster, MD 21157-5726 |
Second Address | Westminster, MD 21157-5726 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 22/10/2021 |