Individual
MARIAH SALIM MITHAIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4835 LBJ FWY STE 900, DALLAS, TX 75244-6001
(972) 520-8124
Mailing address
4835 LYNDON B JOHNSON FWY STE 900, DALLAS, TX 75244-6001
(214) 460-9268
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02005805A
IN
207P00000X
Emergency Medicine Physician
5101019980
MI
207P00000X
Emergency Medicine Physician
Q4470
TX
390200000X
Student in an Organized Health Care Education/Training Program
5101019980
MI
Other
Enumeration date
05/25/2012
Last updated
01/11/2022
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