Individual
FARIBA ASRARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-8964
Mailing address
PO BOX 64474, BALTIMORE, MD 21264-4474
(410) 955-8964
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D53920
MD
2085R0001X
Radiation Oncology Physician
Primary
D53920
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033101500
—
MD
Enumeration date
04/17/2006
Last updated
02/01/2013
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