Mariyama Fofana, is a
Radiology - Diagnostic Ultrasound physician based in Belcamp, Maryland. Mariyama Fofana is licensed to practice in California (license number 202203) and her current practice location is 1200 Brass Mill Rd, Belcamp, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 900-3027.
NPI number for Mariyama Fofana is 1548963838 and her current mailing address is 301 N Juniata St Unit 894, Havre De Grace, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548963838.
Physician's Profile
Full Name | Mariyama Fofana |
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Gender | Female |
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Speciality | Radiology - Diagnostic Ultrasound |
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Location | 1200 Brass Mill Rd, Belcamp, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548963838
- Provider Enumeration Date: 03/24/2023
- Last Update Date: 03/24/2023
Medical Identifiers
Medical identifiers for Mariyama Fofana such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548963838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085U0001X | Radiology - Diagnostic Ultrasound | 202203 (California) | 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. Mariyama Fofana is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mariyama Fofana, 301 N Juniata St Unit 894, Havre De Grace, MD 21078-3153 Ph: () - | Mariyama Fofana, 1200 Brass Mill Rd, Belcamp, MD 21017-1217 Ph: (443) 900-3027 |
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