Individual
OMID YEGANEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287
(410) 955-5000
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-6421
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D87396
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D87396
LICENSE
MD
Enumeration date
04/01/2014
Last updated
07/15/2019
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