Individual
MAHBOUBEH DADASH ZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1109 GREEN ACRE ROAD, TOWSON, MD 21286
(410) 821-1912
Mailing address
1109 GREEN ACRE RD, TOWSON, MD 21286-1734
(410) 821-1912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D32153
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B70685
UPIN
MD
Enumeration date
05/26/2006
Last updated
03/07/2023
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