NPI 1356342521

Mohammad Khodabandelou, MD

Practitioner Legal Medicine Baltimore, MD

Practice location

Address: 614 E Patapsco Ave, Baltimore, MD 21225-1933
Phone: (410) 355-0074
Fax: (410) 355-3449
Mailing address: 6 Saint Andrews Crossover, Severna Park, MD 21146-2403

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence D14375 (MD)

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Registry record

NPI: 1356342521
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2005
Record last updated: 3 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.