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Individual

DR. MOHAMMADREZA SHAGHAGHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
601 N CAROLINE ST RM 4223, BALTIMORE, MD 21287-0006
(443) 987-7636
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 955-5000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0094959
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/30/2020
Last updated
02/10/2026
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