Organization
ELIAS K. SHAYA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRENE JACKSON (OPERATIONS MANAGER)
(443) 444-4803
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD # 406, BALTIMORE, MD 21239-2905
(443) 444-4540
(410) 323-6958
Mailing address
5601 LOCH RAVEN BLVD # 406, BALTIMORE, MD 21239-2905
(443) 444-4540
(410) 323-6958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
D0038957
MD
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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