Individual
MIRIAM MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-5223
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D52299
MD
207R00000X
Internal Medicine Physician
Primary
MD30512
DC
207RN0300X
Nephrology Physician
MD30512
DC
208M00000X
Hospitalist Physician
D52299
MD
Other
Enumeration date
08/12/2006
Last updated
10/02/2023
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