Ishii, Masaru

Ishii, Masaru is an individual health care provider with primary practice located at 4940 Eastern Ave , Baltimore MD 21224-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Ishii, Masaru can be contacted via phone (410) 550-2368.

Contact Information

Primary practice address
4940 Eastern Ave Baltimore MD 21224-2735
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X D59315 Maryland

Profile Details

NPI number 1427004381
LBN Legal business name Ishii, Masaru
Credentials M.D.,PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Feb 8th, 2013 - about 11 years ago

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 1427004381 NPPES
Maryland MEDICAID 384050600

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