Individual
KATHERINE MAHDAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
180 ADMIRAL COCHRANE DR STE 410, ANNAPOLIS, MD 21401-8405
(410) 263-5439
Mailing address
1306 CONCOURSE DR STE 201, LINTHICUM HEIGHTS, MD 21090-1033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009180
MD
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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