Organization
FMCA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAIYER IMAM MD (OWNER)
(540) 529-5472
Entity
Organization
Contact information
Practice address
2562 HIDDEN COVE RD, ANNAPOLIS, MD 21401-6815
(540) 529-5472
Mailing address
2562 HIDDEN COVE RD, ANNAPOLIS, MD 21401-6815
(540) 529-5472
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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