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Individual

DR. MOHAMMAD KHODABANDELOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
614 E PATAPSCO AVE, BALTIMORE, MD 21225-1933
(410) 355-0074
(410) 355-3449
Mailing address
6 SAINT ANDREWS CROSSOVER, SEVERNA PARK, MD 21146-2403
(410) 987-5692
(410) 355-3449

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
D14375
MD

Other

Enumeration date
08/10/2005
Last updated
09/03/2008
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