Organization
DOCTOR AMIR MIRZAALIKHANI, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIR M ALIKHANI MD (PRESIDENT)
(301) 983-6656
Entity
Organization
Contact information
Practice address
101 CENTENNIAL ST STE B, LA PLATA, MD 20646-5976
(301) 934-6060
(301) 934-4523
Mailing address
8578 BRICKYARD RD, POTOMAC, MD 20854-4833
(301) 983-6656
(301) 983-8110
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D0026262
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0046046
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403163600
—
MD
Enumeration date
01/18/2007
Last updated
12/09/2008
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