Individual
DR. FARZAD MOKHTARIESBUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1595
(410) 328-2592
Mailing address
2901 BOSTON ST, BALTIMORE, MD 21224-4800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
12/04/2025
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