Individual
DIAA Y. MIKHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 N POINT BLVD, SUITE 708, BALTIMORE, MD 21224-3415
(410) 288-5901
(410) 288-5904
Mailing address
1005 N POINT BLVD, SUITE 708, BALTIMORE, MD 21224-3415
(410) 288-5901
(410) 288-5904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0051883
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080188101
RAILROAD MEDICARE
GA
05
—
199301100
—
MD
01
—
232113YEG0
MEDICARE
MD
01
—
KAV9D1 54847206
CAREFIRST
MD
01
—
S344 0001
CAREFIRST
DC
Enumeration date
07/05/2006
Last updated
11/19/2021
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