Individual
DR. SHANKAR AWASTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 N CHARLES ST, TOWSON, MD 21204-6808
(443) 849-8046
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0077793
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
517300100
—
MD
Enumeration date
08/08/2012
Last updated
05/11/2016
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