Provider Demographics
NPI:1003888488
Name:DANAIE, JAMSHID (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMSHID
Middle Name:
Last Name:DANAIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 N CAROLINE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0006
Practice Address - Country:US
Practice Address - Phone:410-955-9441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0039328208D00000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD410003400Medicaid
MDJ062OtherB/C B/S
MDKA80OtherB/C B/S
DC2849OtherB/C B/S
MD410003400Medicaid
MD016582A00Medicare ID - Type UnspecifiedLOCALITY/JURIS. CODE 99
MDCN2566Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MD434LK843Medicare ID - Type UnspecifiedLOCALITY/JURIS. CODE 01
MDJ062OtherB/C B/S
MDKA80OtherB/C B/S