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Individual

KHOSROW TABASSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
515 FAIRMOUNT AVE STE 500, TOWSON, MD 21286-5466
(410) 494-1662
(410) 494-1718
Mailing address
501 FAIRMOUNT AVE STE 103, TOWSON, MD 21286-5457
(410) 494-7920
(410) 902-8247

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0046356
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148981000
MD
Enumeration date
05/16/2006
Last updated
07/21/2022
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