Individual
MARIAM NEJATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9093 RIDGEFIELD DR, FREDERICK, MD 21701-6710
(301) 682-4100
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0088067
MD
390200000X
Student in an Organized Health Care Education/Training Program
218831
NC
Other
Enumeration date
04/12/2016
Last updated
09/05/2019
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