Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD424164 | PA |
Y | 2080P0210X | Pediatric Nephrologist | MD424164 | PA |
NPI | 1740400902 |
---|---|
Provider Name | Shamir Tuchman |
First Address | Baltimore, MD 21297 |
Second Address | Washington, DC 20010-2916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2007 |
Last Update Date | 29/07/2009 |