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Organization

DR. BRIAN KASHAN, D.P.M., PA

Active
Parent organization
DR. BRIAN KASHAN, D.P.M. , PA
Other names
Dr. Brian Kashan, D.P.M., PA ASC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DR. BRIAN KASHAN, D.P.M. , PA
Authorized official
DR. BRIAN KASHAN D.P.M. (PRESIDENT)
(410) 764-7044
Entity
Organization

Contact information

Practice address
6506 REISTERSTOWN RD, BALTIMORE, MD 21215-2304
(410) 764-7044
Mailing address
6506 REISTERSTOWN RD, BALTIMORE, MD 21215-2304
(410) 764-7044
(410) 764-8637

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1175
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400404300
MD
Enumeration date
05/18/2006
Last updated
10/13/2016
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