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Individual

DR. NISHA SANKARAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 933-1340
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD210001571
MD
2471C3402X
Radiography Radiologic Technologist
0101269066
VA
390200000X
Student in an Organized Health Care Education/Training Program
887-L
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D92931
MD LICENSE
MD
01
MD210001571
DC LICENSE
DC
Enumeration date
07/01/2013
Last updated
01/27/2022
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