Individual
KEVIN SHARGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D89620
MD
207R00000X
Internal Medicine Physician
Q9509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D89620
LICENSE
MD
Enumeration date
04/30/2015
Last updated
09/04/2020
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