Healthcare Provider Details

I. General information

NPI: 1962347229
Provider Name (Legal Business Name): ESPERANZA CENTER HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 S BROADWAY FL 2
BALTIMORE MD
21231-2409
US

IV. Provider business mailing address

430 S BROADWAY FL 2
BALTIMORE MD
21231-2409
US

V. Phone/Fax

Practice location:
  • Phone: 667-600-2900
  • Fax: 667-600-4041
Mailing address:
  • Phone: 667-600-2900
  • Fax: 667-600-4041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SNEHAL SHAH
Title or Position: MEDICAL DIRECTOR
Credential: FNP
Phone: 667-600-2900