Individual
SYED IMRAN MOBIN SHAUKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 UPPER CHESAPEAKE DR, SUITE 313, BEL AIR, MD 21014-4339
(443) 643-3335
Mailing address
1085 LILLY GATE LN, BEL AIR, MD 21014-2705
(410) 420-0383
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0056679
MD
2084N0600X
Clinical Neurophysiology Physician
D0056679
MD
Other
Enumeration date
04/04/2007
Last updated
09/05/2012
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