Individual
RAKSHANDA S ISHRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7005 SECURITY BLVD, BALTIMORE, MD 21244
(587) 500-4440
Mailing address
5013 PASTURE CT, ELLICOTT CITY, MD 21043-6764
(587) 500-4440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2635
MD
Other
Enumeration date
07/09/2018
Last updated
08/09/2018
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