Kalathil K. Shashidharan MD

NPI 1043267685 - Emergency Medicine - 207P00000X

NPI Details
NPI 1043267685
Gender Male
Enumeration Date 05/28/2006
Last Updated 07/17/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5601 LOCH RAVEN BLVD
BALTIMORE MD, 21239-2905, US
Phone (410) 532-4040
Fax (410) 532-4962
Business Location
307 S EVERGREEN AVE
WOODBURY NJ, 08096-2739, US
Phone (856) 686-4300
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Maryland
License Number D18230
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According to our database, Kalathil K. Shashidharan MD NPI is 1043267685, taxonomy code is 207P00000X and license number is D18230, license state is located at Maryland. Kalathil K. Shashidharan MD physically located at 5601 Loch Raven Blvd, Baltimore MD, 21239-2905. NPI Number Kalathil K. Shashidharan MD has the Individual type.

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1043267685 NPI number is provided on an as is basis without warranty of any kind. 1043267685 is maintained by the National Plan & Provider Enumeration System. The contents of Kalathil K. Shashidharan MD are for informational purposes only.