Individual
CHANA SHAMTOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6701 N CHARLES ST, TOWSON, MD 21204-6808
(443) 849-4325
Mailing address
120 SISTER PIERRE DR STE 403, BALTIMORE, MD 21204-7536
(410) 823-6408
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
C0008334
MD
363A00000X
Physician Assistant
Primary
C0008334
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889507400
—
MD
Enumeration date
05/03/2022
Last updated
02/28/2024
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