Individual
DR. REZA ALAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., MHS, MBA
Contact information
Practice address
933 N WOLFE ST, BALTIMORE, MD 21205-1113
(410) 502-3469
(410) 502-7387
Mailing address
933 N WOLFE ST, BALTIMORE, MD 21205-1113
(410) 502-3469
(410) 502-7387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D67215
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018870100
—
MD
Enumeration date
04/11/2008
Last updated
09/30/2014
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