Provider Demographics
NPI:1831145903
Name:KIRSHENBAUM, ARNOLD SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:SETH
Last Name:KIRSHENBAUM
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 1:908 LAMBERTON DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3039
Mailing Address - Country:US
Mailing Address - Phone:301-649-6361
Mailing Address - Fax:
Practice Address - Street 1:7310 RITCHIE HIGHWAY
Practice Address - Street 2:SUITE 313
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061
Practice Address - Country:US
Practice Address - Phone:410-553-8004
Practice Address - Fax:410-553-6967
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD33409174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC89266Medicare UPIN
MD4693Medicare ID - Type Unspecified