Individual
XIANGRONG SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3900 LOCH RAVEN BLVD., BRECC, BALTIMORE, MD 21218
(410) 605-7000
(410) 605-7526
Mailing address
3900 LOCH RAVEN BLVD., BALTIMORE, MD 21218
(410) 605-7552
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0056508
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400271700
—
MD
01
—
M53029
CDS
MD
Enumeration date
09/13/2006
Last updated
03/07/2023
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