Individual
DR. HOMAYOON MAHJOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12150 ANNAPOLIS RD STE 312, GLENN DALE, MD 20769-9183
(301) 352-7771
Mailing address
12150 ANNAPOLIS RD STE 312, GLENN DALE, MD 20769-9183
(301) 352-7771
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
236692
MA
207RG0100X
Gastroenterology Physician
C1-0028553
DE
207RG0100X
Gastroenterology Physician
EMC0005932
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0058186
MEDICAL LICENSE
MD
01
—
EMC0005932
MEDICAL LICENSE
MI
Enumeration date
05/08/2007
Last updated
10/09/2025
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