Individual
JALEH RASHIDZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5601 LOCH RAVEN BLVD, MEDSTAR GOOD SAMARITAN HOSPITAL, BALTIMORE, MD 21239-2945
(443) 444-4782
Mailing address
5601 LOCH RAVEN BLVD, MEDSTAR GOOD SAMARITAN HOSPITAL, BALTIMORE, MD 21239-2945
(443) 444-4782
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C0002571
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
680506823
—
MD
Enumeration date
07/07/2005
Last updated
10/06/2014
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