| Kofi Shaw-taylor Md Pa Westside Medical Group | |
|
2600 Liberty Heights Ave Baltimore MD 21215-7804 | |
| (410) 922-7382 | |
| (410) 922-7384 |
| Full Name | Kofi Shaw-taylor Md Pa Westside Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2600 Liberty Heights Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Kofi Shaw-taylor (OWNER) |
| Authorized Official Contact | 4109227382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kofi Shaw-taylor Md Pa Westside Medical Group 801 Key Highway Ste 211 Bldg 1 Baltimore MD 21230 Ph: (410) 922-7382 | Kofi Shaw-taylor Md Pa Westside Medical Group 2600 Liberty Heights Ave Baltimore MD 21215-7804 Ph: (410) 922-7382 |
| NPI Number | 1265662795 |
|---|---|
| Provider Enumeration Date | 07/17/2009 |
| Last Update Date | 10/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265662795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
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