Individual
MRS. MARYAM Y MIZRAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14800 PHYSICIANS LN, SUITE 132, ROCKVILLE, MD 20850-3940
(301) 610-5080
(301) 610-5065
Mailing address
14800 PHYSICIANS LN, SUITE 132, ROCKVILLE, MD 20850-3940
(301) 610-5080
(301) 610-5065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0034505
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
904002100
—
MD
Enumeration date
02/08/2007
Last updated
04/28/2008
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