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Individual

DR. JAFAR NAZEMIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6196 OXON HILL RD, SUITE 250, OXON HILL, MD 20745
(301) 567-8880
(301) 839-7026
Mailing address
6196 OXON HILL RD, SUITE 250, OXON HILL, MD 20745
(301) 567-8880
(301) 839-7026

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0009162
MD
207Q00000X
Family Medicine Physician
MD25644
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001
BC
DC
01
04885
AMERIGROUP
01
0720
BC
DC
01
100232
AETNA
01
365639
UNITED HEALTHCARE HMO
01
6370
BC OF MD
MD
01
85352
MDIPA OPTIMUM
Enumeration date
11/13/2006
Last updated
07/08/2007
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