Doctor Name: | DR. SIROSH MASUOOD |
NPI Number: | 1902136286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 901 Dulaney Valley Rd Suite 129 Towson, MD - 212042600 |
Business Phone Number: | 8003703651 |
Business Fax Number: | |
Mailing Address: | 17811 Black Stallion Way, GERMANTOWN |
State: | MD |
Postal Code: | 208744411 |
Phone Number: | 9179024338 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2010 |
NPI Last Update Date: | 03/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |