Provider Demographics
NPI:1629081500
Name:KASHI, KIUMARCE (MD)
Entity Type:Individual
Prefix:DR
First Name:KIUMARCE
Middle Name:
Last Name:KASHI
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 1:6830 HOSPITAL DR. #106
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4375
Mailing Address - Country:US
Mailing Address - Phone:410-686-8000
Mailing Address - Fax:410-284-7204
Practice Address - Street 1:6830 HOSPITAL DR. #106
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4375
Practice Address - Country:US
Practice Address - Phone:410-686-8000
Practice Address - Fax:410-284-7204
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0047658207RS0012X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD372481600Medicaid
MD372481600Medicaid
MD019RMedicare PIN