Individual
SEPIDEH SADR DADRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6656 DOBBIN RD, COLUMBIA, MD 21045-5841
(410) 381-1330
Mailing address
6656 DOBBIN RD, COLUMBIA, MD 21045-5841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D69441
MD
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
D69441
MD
Other
Enumeration date
08/20/2009
Last updated
11/19/2012
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