Provider Demographics
NPI:1093853244
Name:KELMAN, SHALOM ELIHU (MD)
Entity Type:Individual
Prefix:DR
First Name:SHALOM
Middle Name:ELIHU
Last Name:KELMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1777 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 234
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1306
Mailing Address - Country:US
Mailing Address - Phone:410-580-1800
Mailing Address - Fax:410-580-1700
Practice Address - Street 1:1777 REISTERSTOWN RD
Practice Address - Street 2:SUITE 234
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-1306
Practice Address - Country:US
Practice Address - Phone:410-580-1800
Practice Address - Fax:410-580-1700
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2023-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0028905207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD875QMedicare ID - Type Unspecified
MDE22991Medicare UPIN