Individual provider · NPI-1

Dr. Shahab Zare Bavani, M.D.

Internal Medicine · Laurel, MD

NPI number1326061672
StatusActive
Last updated in NPPESMar 5, 2009

Details

NPI
1326061672
Entity type
Individual (NPI-1)
Name
Dr. Shahab Zare Bavani
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 26, 2006
Last updated
Mar 5, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineD0064874MDYes

Other names

  • Shahab Zare Bawani (Former Name)

Practice location

7300 Van Dusen Rd
Laurel, MD 20707-9463

Phone 410-730-7440 · Fax 414-073-0747

Mailing address

10724 Little Patuxent Pkwy Ste 200
Columbia, MD 21044-3249

Phone 410-997-5944 · Fax 410-997-1720

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