Organization
OBGYN AFFILIATES, PA
Active
Other names
OBGYN Affiliates Imad S Mufarrij, Manjit Risam
Organization subpart
No
Provider details
NPI number
Authorized official
IMAD MUFARRIJ M.D. (OWNER/MD)
(301) 249-4090
Entity
Organization
Contact information
Practice address
3060 MITCHELLVILLE RD, SUITE 210, BOWIE, MD 20716
(301) 249-4090
(301) 390-1344
Mailing address
3060 MITCHELLVILLE RD, SUITE 210, BOWIE, MD 20716
(301) 249-4090
(301) 390-1344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0031265
MD
174400000X
Specialist
Primary
D0032735
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41836101
BLUE CROSS BLUE SHIELD
MD
05
—
528351500
—
MD
Enumeration date
08/18/2006
Last updated
02/21/2018
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