Organization
BASHAR PHAROAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHAR PHAROAN M.D. (OWNER)
(410) 661-9300
Entity
Organization
Contact information
Practice address
4744 RIDGE RD, RIDGE MEDICAL CENTER, NOTTINGHAM, MD 21236-3818
(410) 661-9300
(443) 213-1441
Mailing address
4744 RIDGE RD, RIDGE MEDICAL CENTER, NOTTINGHAM, MD 21236-3818
(410) 661-9300
(443) 213-1441
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0019637
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
975311700
—
MD
Enumeration date
07/13/2010
Last updated
07/13/2010
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