Organization
PROVIDENCE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDOLAZIM SHAHSAVAR MD (PHYSICIAN AND THE PRACTICE OWNER)
(571) 331-8617
Entity
Organization
Contact information
Practice address
2345 YORK RD STE 201, TIMONIUM, MD 21093-2279
(571) 331-8617
Mailing address
527 CHATTERTON RD, TIMONIUM, MD 21093-1934
(571) 331-8617
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/15/2019
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