Individual
FERESHTEH POURGHADIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
9000 FRANKLIN SQUARE DR, DEPARTMENT OF PHYSICIAN ASSISTANT SERVICES, BALTIMORE, MD 21237-3901
(443) 777-7000
Mailing address
9000 FRANKLIN SQUARE DR, DEPARTMENT OF PHYSICIAN ASSISTANT SERVICES, BALTIMORE, MD 21237-3901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011838
NY
363A00000X
Physician Assistant
Primary
C01857
MD
363A00000X
Physician Assistant
PA263
DC
Other
Enumeration date
05/22/2007
Last updated
07/17/2008
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