Individual
DR. MARIAM MCCONNELL BAHRAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4379 NORTHVIEW DR, BOWIE, MD 20716-2603
(301) 262-2627
(301) 262-8411
Mailing address
4379 NORTHVIEW DR, BOWIE, MD 20716-2603
(301) 262-2627
(301) 262-8411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0057120
MD
208000000X
Pediatrics Physician
D0057120
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820801800
—
MD
Enumeration date
09/16/2006
Last updated
09/28/2010
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