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Individual

PRAGYASHREE SHARMA BASYAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1235 E MONUMENT ST, BALTIMORE, MD 21202-5327
(443) 303-7076
Mailing address
4421 GLENMORE AVE, BALTIMORE, MD 21206-2010
(443) 303-7076

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
C0008766
MD
363A00000X
Physician Assistant
Primary
C0008766
MD

Other

Enumeration date
01/23/2023
Last updated
01/23/2023
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