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Individual

DR. MARJAN BAHADOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5793
(410) 328-0248
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5793
(410) 328-0248

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D60212
MD
207RP1001X
Pulmonary Disease Physician
D60212
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
413087100
MD
01
900024-01
BC/BS
MD
Enumeration date
04/11/2007
Last updated
08/20/2008
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