Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | D0062770 | MD |
NPI | 1093782864 |
---|---|
Provider Name | Dr. Zeena Dorai |
First Address | Baltimore, MD 21218-3742 |
Second Address | Baltimore, MD 21218-3742 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 30/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
407886100 | (05) | MD |
I31394 | (02) |