Healthcare Provider Details

I. General information

NPI: 1194905448
Provider Name (Legal Business Name): SALIH MARANGOZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2007
Last Update Date: 11/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 W BELVEDERE AVE
BALTIMORE MD
21215-5216
US

IV. Provider business mailing address

3900 N CHARLES ST APT 1308
BALTIMORE MD
21218-1719
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-9555
  • Fax:
Mailing address:
  • Phone: 443-857-1241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberP50253
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: