Individual
MARISSA LEIGH KHAJAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5500 KNOLL NORTH DR STE 370, COLUMBIA, MD 21045-2393
(410) 837-2050
(866) 629-0091
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
(866) 629-0091
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
P30079
MD
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
D0085229
MD
Other
Enumeration date
06/17/2014
Last updated
02/11/2021
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