Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 12112 | MD |
Y | 213EG0000X | General Practice | 12112 | MD |
NPI | 1003952706 |
---|---|
Provider Name | Dr. Shahnaz Saber |
First Address | Catonsville, MD 21228-6278 |
Second Address | Catonsville, MD 21228-6278 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 25/03/2019 |