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Individual

ABDOLAZIM SHAHSAVAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3461
Mailing address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3461

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0078471
MD
2084P0802X
Addiction Psychiatry Physician
049548
CT

Other

Enumeration date
03/24/2011
Last updated
02/20/2015
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