Individual
MAHJABEEN SIRAJ ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(434) 924-5408
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2014014724
MO
Other
Enumeration date
07/01/2014
Last updated
08/29/2019
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