Individual
ALEKSEI VIKTOROVICH KONDRASHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 S CATON AVE, BALTIMORE, MD 21229-5201
(234) 667-3130
Mailing address
900 S CATON AVE, BALTIMORE, MD 21229-5201
(234) 667-3130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D99910
MD
Other
Enumeration date
08/11/2021
Last updated
07/02/2024
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