Individual
SHAHAB A TOURSAVADKOHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5840
(410) 328-0717
Mailing address
306 W REDWOOD ST FL 4, BALTIMORE, MD 21201-1708
(667) 214-1720
(410) 706-6976
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301088968
MI
2086S0129X
Vascular Surgery Physician
Primary
D73008
MD
2086S0129X
Vascular Surgery Physician
TMD004748
PA
Other
Enumeration date
05/22/2007
Last updated
09/16/2020
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