Individual
LAMEH FANANAPAZIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12502 WILLOWBROOK ROAD, SUITE 420, CUMBERLAND, MD 21502-6567
(301) 777-1997
(301) 784-1759
Mailing address
12502 WILLOWBROOK ROAD, SUITE 420, CUMBERLAND, MD 21502-6567
(301) 777-1997
(301) 784-1759
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0039832
MD
207RC0000X
Cardiovascular Disease Physician
Primary
D0039832
MD
207RC0001X
Clinical Cardiac Electrophysiology Physician
D0039832
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003478
—
WV
05
—
408906500
—
MD
Enumeration date
06/01/2006
Last updated
06/14/2010
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