Individual
SHARUGASH KIRUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 W LEXINGTON ST, BALTIMORE, MD 21201-1508
(347) 574-7034
Mailing address
5107 CROSSFIELD CT APT 10, ROCKVILLE, MD 20852-2142
(347) 574-7034
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2021
Last updated
10/17/2021
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