Individual
SHALLU SAHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4940 EASTERN AVENUE 301 BLDG, 3RD FLOOR, SUITE 3400, BALTIMORE, MD 21224
(410) 550-2820
(410) 550-0979
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101019579
MI
207RN0300X
Nephrology Physician
5101019579
MI
207RN0300X
Nephrology Physician
Primary
H85985
MD
Other
Enumeration date
07/11/2011
Last updated
08/25/2018
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