Individual
DR. HENGAMEH NOURI MESBAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11711 LIVINGSTON RD, FORT WASHINGTON, MD 20744-5151
(301) 203-2250
Mailing address
PO BOX 500, MARSHALL, VA 20116-0500
(301) 203-2250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0054723
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029726500
—
DC
05
—
296603400
—
MD
01
—
76881001
BLUE SHIELD
MD
01
—
H9140004
BLUE SHIELD
DC
Enumeration date
06/10/2006
Last updated
02/09/2012
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