Provider Demographics
NPI:1538143953
Name:MIAN, JAMSHID SAEED (MD)
Entity Type:Individual
Prefix:
First Name:JAMSHID
Middle Name:SAEED
Last Name:MIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9114 PHILADELPHIA RD
Mailing Address - Street 2:STE 214
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4348
Mailing Address - Country:US
Mailing Address - Phone:443-231-5711
Mailing Address - Fax:443-231-5790
Practice Address - Street 1:9106 PHILADELPHIA RD
Practice Address - Street 2:SUITE 209
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4329
Practice Address - Country:US
Practice Address - Phone:443-231-5711
Practice Address - Fax:443-231-5790
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0056888207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
8134006OtherMAMSI
3282244OtherAETNA HMO
2346739OtherUHC
7161245OtherAETNA PPO
522338017OtherHELIX
W6470016OtherBLUE CHOICE
522338017OtherTID
P16564OtherMPOS
3282244OtherAETNA HMO
522338017OtherTID