Individual
MARY DIVYA KASU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6716
(410) 706-5103
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6716
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0099777
MD
Other
Enumeration date
04/27/2018
Last updated
06/06/2024
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