Individual
TARA MAMDOUHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 MASSACHUSETTS AVE NW FL 2, WASHINGTON, DC 20016-2004
(202) 966-5000
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3670
(202) 476-4741
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD210002043
DC
Other
Enumeration date
03/28/2019
Last updated
08/08/2023
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