Mr Pasha Shakoori, MD is a medicare enrolled "Plastic Surgery" provider in Baltimore, Maryland. His current practice location is
4940 Eastern Ave, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 550-0100.
Mr Pasha Shakoori is licensed to practice in Maryland (license number D0104142) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891114674.
Healthcare Provider's Profile
Full Name | Mr Pasha Shakoori |
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Gender | Male |
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Speciality | Plastic Surgery |
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Location | 4940 Eastern Ave, Baltimore, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891114674
- Provider Enumeration Date: 04/09/2014
- Last Update Date: 07/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 7315349792
- Enrollment ID: I20210707003000
Medical Identifiers
Medical identifiers for Mr Pasha Shakoori such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891114674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS042380 (Pennsylvania) | Secondary |
208200000X | Plastic Surgery | D0104142 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Pasha Shakoori is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Pasha Shakoori, MD 6201 Greenleigh Ave, Baltimore, MD 21220-2004 Ph: (410) 933-2704 | Mr Pasha Shakoori, MD 4940 Eastern Ave, Baltimore, MD 21224-2735 Ph: (410) 550-0100 |
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