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Individual

RIYAD GARGOUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 N CAROLINE ST # 3235A, BALTIMORE, MD 21287-0006
(410) 955-9446
(410) 614-0431
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D91581
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D91581
MD LICENSE
MD
Enumeration date
04/06/2016
Last updated
03/30/2023
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