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Individual

SHMUEL SHOHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 N WOLFE ST, 1830 BLDG RM 450, BALTIMORE, MD 21287-0005
(410) 614-6431
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D71722
MD
207RI0200X
Infectious Disease Physician
MD32748
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
025788300
DC
05
5856906
VA
05
862004100
MD
Enumeration date
05/08/2006
Last updated
04/26/2011
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