# DARIOUSH NASSERI MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962436956
- **Authorized official:** DR. DARIOUSH NASSERI MD PA (ORTHOPAEDIC SURGEON)
- **Authorized official phone:** (410) 435-8100

## Contact information

- **Practice address:** 5601 LOCH RAVEN BLVD, STE G2, BALTIMORE, MD 21239-2905
- **Practice address phone:** (410) 435-8100
- **Practice address fax:** (443) 444-4830
- **Mailing address:** 5601 LOCH RAVEN BLVD, STE G2, BALTIMORE, MD 21239-2905
- **Mailing address phone:** (410) 435-8100
- **Mailing address fax:** (443) 444-4830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | D0026027 | MD | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 09/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 772491800 | — | MD |