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Individual

AMIN SEDAGHAT HERATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4940 EASTERN AVE BLDG 3, BALTIMORE, MD 21224-2735
(410) 550-7742
(410) 550-3341
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D83492
MD

Other

Enumeration date
04/20/2010
Last updated
10/09/2017
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