Etezadi, Vahid

Etezadi, Vahid is an individual health care provider with primary practice located at 22 S Greene St, Dept Of Radiology , Baltimore MD 21201-1544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Etezadi, Vahid can be contacted via phone (410) 328-3477.

Contact Information

Primary practice address
22 S Greene St, Dept Of Radiology Baltimore MD 21201-1544
Phone: (410) 328-3477
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0082037 Maryland
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD210012388 District of Columbia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X D0082037 Maryland

Profile Details

NPI number 1225357718
LBN Legal business name Etezadi, Vahid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2010
Last updated Nov 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225357718 NPPES
Maryland MEDICAID 100494801
Maryland MEDICAID 024995813

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