Individual
NIMA KHAVANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4940 EASTERN AVE, SUITE A518, BALTIMORE, MD 21224-2735
(410) 550-0407
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
D0100771
MD
208200000X
Plastic Surgery Physician
Primary
MD500003365
DC
Other
Enumeration date
01/24/2015
Last updated
07/18/2024
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