Individual
ELISHEVA BADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-9000
Mailing address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R222958
MD
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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