Organization
DIAA Y. MIKHAIL, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIAA Y. MIKHAIL (PRESIDENT)
(410) 288-5901
Entity
Organization
Contact information
Practice address
1105 N POINT BLVD, SUITE 708, BALTIMORE, MD 21224-3419
(410) 288-5901
(410) 288-5904
Mailing address
1105 N POINT BLVD, SUITE 708, BALTIMORE, MD 21224-3419
(410) 288-5901
(410) 288-5904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199301100
MEDICAL ASSISTANCE
MD
01
—
271M
MEDICARE
MD
01
—
DG2297
RAILROAD MEDICARE
GA
01
—
KAV9DI
CAREFIRST
MD
01
—
S344 0001
CAREFIRST
DC
Enumeration date
07/07/2006
Last updated
01/20/2012
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