Individual
DR. MANSUR E. SHOMALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E 33RD ST, 33RD ST PROF BLDG, STE 551, BALTIMORE, MD 21218-3322
(410) 554-4511
(410) 554-6490
Mailing address
200 E 33RD ST, 33RD ST PROF BLDG, STE 551, BALTIMORE, MD 21218-3322
(410) 554-4511
(410) 554-6490
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D0058521
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4344511-00
—
MD
01
—
616179-02 & 03
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
04/14/2006
Last updated
12/09/2016
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