Individual
HODAYA ROOSHANSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3419 OLYMPIA AVE APT A, BALTIMORE, MD 21215-1742
(443) 314-1859
Mailing address
3419 OLYMPIA AVE APT A, BALTIMORE, MD 21215-1742
(443) 314-1859
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0008279
MD
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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