Individual
OMID KHALILZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6369
(410) 502-3714
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D89474
MD
2085R0202X
Diagnostic Radiology Physician
L-259657
MA
Other
Enumeration date
05/21/2014
Last updated
11/02/2022
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