Provider Demographics
NPI:1831530484
Name:BASHARAT, PARI (MD)
Entity type:Individual
Prefix:MS
First Name:PARI
Middle Name:
Last Name:BASHARAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:PARI
Other - Middle Name:
Other - Last Name:BASHARATHULAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5200 EASTERN AVENUE, SUITE 4100
Mailing Address - Street 2:MFC BUILDING, CENTRAL TOWER
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-2734
Mailing Address - Country:US
Mailing Address - Phone:410-550-6962
Mailing Address - Fax:410-550-3542
Practice Address - Street 1:5200 EASTERN AVENUE, SUITE 4100
Practice Address - Street 2:MFC BUILDING, CENTRAL TOWER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2734
Practice Address - Country:US
Practice Address - Phone:410-550-6962
Practice Address - Fax:410-550-3542
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program