Healthcare Provider Details

I. General information

NPI: 1932038411
Provider Name (Legal Business Name): KAYSAR MOHAMMADI B.M.B.S(BACHELOR OF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEDSTAR UNION MEMORIAL HOSPITAL, DEPT OF INTERNAL MEDIC 201 E UNIVERSITY PARKWAY, BALTIMORE MD 21218
BALTIMORE MD
21218
US

IV. Provider business mailing address

MEDSTAR UNION MEMORIAL HOSPITAL, DEPT OF INTERNAL MEDIC 201 E UNIVERSITY PARKWAY, BALTIMORE MD 21218
BALTIMORE MD
21218
US

V. Phone/Fax

Practice location:
  • Phone: 410-554-2284
  • Fax: 410-554-2184
Mailing address:
  • Phone: 410-554-2284
  • Fax: 410-554-2184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: