Individual
KAVAN T CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./ PH.D.
Contact information
Practice address
733 N BROADWAY, OFFICE OF THE REGISTRAR, BRB SUITE 147, BALTIMORE, MD 21205-1832
(410) 614-3301
(410) 955-0826
Mailing address
733 N BROADWAY, OFFICE OF THE REGISTRAR, BRB SUITE 147, BALTIMORE, MD 21205-1832
(410) 614-3301
(410) 955-0826
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D79536
MD
Other
Enumeration date
04/07/2011
Last updated
03/30/2021
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