Individual
DR. SHANTHI MARUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 N. BROADWAY, BALTIMORE, MD 21231
(410) 502-3820
Mailing address
PO BOX 64474, BALTIMORE, MD 21264-4474
(410) 955-8964
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D0066346
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014191700
—
MD
Enumeration date
06/27/2007
Last updated
02/14/2013
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