Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TA2364 | MD |
NPI | 1003249343 |
---|---|
Provider Name | Salma Kiani |
First Address | Baltimore, MD 21244-2653 |
Second Address | Baltimore, MD 21244-2653 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2013 |
Last Update Date | 09/08/2013 |