Active NPI
Shallu Sahore, D.O.
- Nephrology Physician
- Baltimore, MD
National Provider Identifier
1841588985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- H85985
- Practice address
- 4940 Eastern Avenue 301 BLDG, 3Rd Floor, Suite 3400
Baltimore, MD 21224 - Phone
- (410) 550-2820
- Fax
- (410) 550-0979
- NPI assigned
- Jul 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101019579 | MI | |
| Nephrology Physician | 207RN0300X | 5101019579 | MI | |
| Nephrology Physician | 207RN0300X | H85985 | MD | Primary |
Addresses
Primary practice location
4940 Eastern Avenue 301 BLDG, 3Rd Floor, Suite 3400
Baltimore, MD 21224
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Hand & Extremity Reconstructive Surgery, PLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Hand Surgery Physician
- Southfield, MI
- NPI 1255482816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535155200000",
"number": "1841588985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 FRANKLIN SQUARE DR STE 2110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364902",
"telephone_number": "410-933-6423",
"fax_number": "410-933-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 EASTERN AVENUE 301 BLDG, 3RD FLOOR, SUITE 3400",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21224",
"telephone_number": "410-550-2820",
"fax_number": "410-550-0979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHORE",
"first_name": "SHALLU",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2018-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101019579",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "5101019579",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MD",
"license": "H85985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.