Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | D59302 | MD |
N | 207V00000X | Obstetrician & Gynecologist | D59302 | MD |
NPI | 1255388401 |
---|---|
Provider Name | Shama Jari |
First Address | Baltimore, MD 21263-1568 |
Second Address | Baltimore, MD 21204-6808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 06/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
400420500 | (05) | MD |
H77188 | (02) | MD |