Healthcare Provider Details

I. General information

NPI: 1639182041
Provider Name (Legal Business Name): EMMA ZARGARIAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMMA ZARGARIAN M.D.

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 N CHARLES ST SUITE 501
BALTIMORE MD
21204-6800
US

IV. Provider business mailing address

6565 N CHARLES ST SUITE 501
BALTIMORE MD
21204-6800
US

V. Phone/Fax

Practice location:
  • Phone: 410-828-8369
  • Fax: 410-583-7470
Mailing address:
  • Phone: 410-828-8369
  • Fax: 410-583-7470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD22704
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: