Individual
DR. KEVIN MORTAZAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHS
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(951) 252-3630
Mailing address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(614) 293-3570
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A206455
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
05/06/2026
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