Individual
MS. ALISHA R BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4225 ALTAMONT PL, WHITE PLAINS, MD 20695-3063
(410) 955-5000
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(803) 774-7000
(803) 774-7004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005457
MD
363A00000X
Physician Assistant
TL1440
SC
Other
Enumeration date
09/14/2009
Last updated
02/26/2024
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