Organization
MARYAM ZAMANI, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM ZAMANI M.D., PC (MEDICAL DIRECTOR)
(410) 848-8202
Entity
Organization
Contact information
Practice address
3229 WOODBURN RD, STE 350, ANNANDALE, VA 22003-1274
(410) 848-8202
(410) 848-2644
Mailing address
3229 WOODBURN RD, STE 350, ANNANDALE, VA 22003-1274
(410) 848-8202
(410) 848-2644
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
0101237180
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179791
BC/BS OF VIRGINIA
VA
01
—
K711
FEDERAL BLUE CROSS
VA
Enumeration date
02/22/2006
Last updated
08/22/2020
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