Individual
HASSAN KASSAMALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 FONTANA LN, SUITE 101, BALTIMORE, MD 21237-3042
(410) 687-0000
(410) 391-8656
Mailing address
17 FONTANA LN, SUITE 101 & 103, ROSEDALE, MD 21237-3042
(410) 687-0000
(410) 391-8656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0046126
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523801300
—
MD
Enumeration date
08/14/2006
Last updated
02/14/2013
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