Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A142709 | CA |
N | 2084N0400X | Neurologist | A142709 | CA |
N | 2084N0400X | Neurologist | MD2013-0787 | NM |
Y | 2084N0402X | Child Neurologist | D84819 | MD |
NPI | 1215192083 |
---|---|
Provider Name | Dr. Parvin Azizi |
First Address | Baltimore, MD 21264-2063 |
Second Address | Baltimore, MD 21201-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2008 |
Last Update Date | 17/03/2018 |