Individual
MINTIMER MISSAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 ALABAMA AVE SE STE 238, WASHINGTON, DC 20032-4542
(202) 299-5334
Mailing address
1100 ALABAMA AVE SE STE 238, WASHINGTON, DC 20032-4542
(202) 299-5334
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
500001548
DC
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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