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Individual

DR. ABDOLREZA HARIRIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5793
(410) 328-0248
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5793
(410) 328-0248

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D63014
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
075598500
DC
05
1497708747
DE
05
407756300
MD
01
647100-01
BC/BS
MD
01
S062-0267
BC/BS - REGIONAL
MD
Enumeration date
05/18/2006
Last updated
08/27/2010
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