Individual
DR. AMIR MIRZAALIKHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11711 LIVINGSTON RD, FORT WASHINGTON, MD 20744-5151
(301) 203-2232
Mailing address
8578 BRICKYARD RD, POTOMAC, MD 20854-4833
(240) 401-5699
(301) 983-8110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0046046
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0046046
MD
207RP1001X
Pulmonary Disease Physician
D0046046
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221071100
—
MD
01
—
78210002
CAREFIRST OF DC
DC
Enumeration date
06/17/2005
Last updated
10/12/2020
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