Maryam Y Mizrahi, Md.p.c. | |
14800 Physicians Ln Suite 132 Rockville MD 20850-3940 | |
(301) 610-5080 | |
(301) 610-5065 |
Full Name | Maryam Y Mizrahi, Md.p.c. |
---|---|
Speciality | Internal Medicine |
Location | 14800 Physicians Ln, Rockville, Maryland |
Authorized Official Name and Position | Maryam Y Mizrahi (OWNER) |
Authorized Official Contact | 3016105080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Maryam Y Mizrahi, Md.p.c. 14800 Physicians Ln Suite 132 Rockville MD 20850-3940 Ph: (301) 610-5080 | Maryam Y Mizrahi, Md.p.c. 14800 Physicians Ln Suite 132 Rockville MD 20850-3940 Ph: (301) 610-5080 |
NPI Number | 1699965152 |
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Provider Enumeration Date | 07/30/2007 |
Last Update Date | 06/03/2011 |
Medicare PECOS PAC ID | 7214965375 |
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Medicare Enrollment ID | O20050729000722 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699965152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Maryam Y Mizrahi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225179732 PECOS PAC ID: 1759319817 Enrollment ID: I20050729000740 |
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