Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D85455 | MD |
N | 111NI0900X | Internist | D85455 | MD |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | D85455 | MD |
N | 207RC0000X | Internist - Cardiovascular Disease | D85455 | MD |
NPI | 1750791000 |
---|---|
Provider Name | Mohammad Sadegh Asadi |
First Address | Baltimore, MD 21264-4442 |
Second Address | Baltimore, MD 21201-1590 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2014 |
Last Update Date | 07/08/2021 |