Individual
MR. PASHA SHAKOORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-2704
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS042380
PA
208200000X
Plastic Surgery Physician
Primary
D0104142
MD
Other
Enumeration date
04/09/2014
Last updated
07/09/2025
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