Organization
NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA MIHM (CREDENTIALING SPECIALIST)
(410) 744-0661
Entity
Organization
Contact information
Practice address
724 MAIDEN CHOICE LN STE 204, CATONSVILLE, MD 21228-5964
(410) 744-0661
(410) 744-8036
Mailing address
700 GEIPE RD, CATONSVILLE, MD 21228-4147
(410) 744-0661
(410) 744-8036
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
902M
MEDICARE
MD
Enumeration date
02/23/2022
Last updated
05/14/2024
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