Individual
MARYAM KHAVANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-4677
Mailing address
9220 ANNHURST ST, FAIRFAX, VA 22031-1902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD048721
DC
Other
Enumeration date
03/21/2017
Last updated
10/12/2020
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