Individual
AMJAD NASR ANAIZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10401 HOSPITAL DR, SUITE 101, CLINTON, MD 20735-3110
(301) 856-2323
(301) 856-0477
Mailing address
10401 HOSPITAL DR, SUITE 101, CLINTON, MD 20735-3110
(301) 856-2323
(301) 856-0477
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
D0076394
MD
207T00000X
Neurological Surgery Physician
Primary
MD040139
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084050700
—
DC
05
—
555304100
—
MD
Enumeration date
10/08/2008
Last updated
04/10/2014
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