| Nazli Emadi Llc | |
|
1501 Sulgrave Ave Ste 202 Baltimore MD 21209-3650 | |
| (410) 881-2106 | |
| (949) 437-8503 |
| Full Name | Nazli Emadi Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1501 Sulgrave Ave Ste 202, Baltimore, Maryland |
| Authorized Official Name and Position | Nazli Emadi (PSYCHIATRIST) |
| Authorized Official Contact | 4108812106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nazli Emadi Llc Po Box 5574 Lutherville MD 21094-5574 Ph: (410) 881-2106 | Nazli Emadi Llc 1501 Sulgrave Ave Ste 202 Baltimore MD 21209-3650 Ph: (410) 881-2106 |
| NPI Number | 1174286983 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 04/07/2023 |
| Certification Date | 04/25/2022 |
| Medicare PECOS PAC ID | 2567853625 |
|---|---|
| Medicare Enrollment ID | O20211228000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174286983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nazli Emadi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962880245 PECOS PAC ID: 3678885712 Enrollment ID: I20200115001150 |
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