Healthcare Provider Details

I. General information

NPI: 1710150255
Provider Name (Legal Business Name): NORA ZADBEH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2008
Last Update Date: 10/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2709 JEREMY CT APT F APT F
BALTIMORE MD
21209-3061
US

IV. Provider business mailing address

2709 JEREMY CT APT F
BALTIMORE MD
21209-3061
US

V. Phone/Fax

Practice location:
  • Phone: 410-262-1694
  • Fax:
Mailing address:
  • Phone: 410-262-1694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number01138
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: