Individual
DR. ASHWIN BALAGOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 E MONUMENT ST, BALTIMORE, MD 21287-0027
(410) 955-1725
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D69548
MD
207RI0200X
Infectious Disease Physician
35085045
OH
207RI0200X
Infectious Disease Physician
D69548
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417955200
—
MD
Enumeration date
01/31/2007
Last updated
01/15/2026
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