Individual
DR. ELIAS K SHAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 LOCH RAVEN BLVD, RMB 406, BALTIMORE, MD 21239-2905
(410) 532-4540
(410) 323-6958
Mailing address
905 FALLSCROFT WAY, LUTHERVILLE, MD 21093-1705
(410) 561-3303
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0038957
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069761300
—
MD
Enumeration date
05/24/2006
Last updated
11/03/2021
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