Individual
DR. SHADPOUR DEMEHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6500
Mailing address
6201 GREENLEIGH AVENUE 2ND FLOOR, BALTIMORE, MD 21264-2004
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D74595
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056876700
—
MD
01
—
D74595
MARYLAND LICENSE
MD
Enumeration date
06/11/2009
Last updated
03/17/2022
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