Organization
ELIAS K SHAYA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBLEY IEASHA GREEN (OFFICE MANAGER)
(410) 532-4540
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, RMB SUITE 406, BALTIMORE, MD 21239-2905
(410) 532-4540
Mailing address
5601 LOCH RAVEN BLVD, RMB SUITE 406, BALTIMORE, MD 21239
(410) 532-4540
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0038957
MD
Other
Enumeration date
10/23/2007
Last updated
10/26/2007
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