Individual
ASHA THARAKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9105 FRANKLIN SQUARE DR STE 209, BALTIMORE, MD 21237-3958
(410) 574-1330
Mailing address
9105 FRANKLIN SQUARE DR STE 209, BALTIMORE, MD 21237-3958
(410) 574-1330
(410) 391-3343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04844
MD
Other
Enumeration date
12/11/2012
Last updated
01/26/2018
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