Individual
DR. HAMID EHSANI-SHISHVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4940 EASTERN AVE, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, DEP ER , BLG B2, BALTIMORE, MD 21224-2735
(410) 550-5177
Mailing address
PO BOX 64362, BALTIMORE, MD 21264-4362
(410) 550-5177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301083403
MI
207Q00000X
Family Medicine Physician
Primary
D0065701
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301083403
PHYSICIAN
MI
01
—
D0065701
STATE LICENSE
MD
Enumeration date
11/07/2006
Last updated
03/11/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us