Individual
SHANA O NTIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29 S PACA ST, BALTIMORE, MD 21201-1771
(410) 328-5012
(410) 328-0639
Mailing address
29 S PACA ST, FAMILY MEDICINE, LOWER LEVEL, BALTIMORE, MD 21201-1771
(410) 328-5012
(410) 328-0639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D67434
MD
Other
Enumeration date
02/17/2007
Last updated
08/04/2021
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