Individual
SAMIYA MOHIUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 TOLL HOUSE AVE STE H4, FREDERICK, MD 21701-4555
(240) 315-6586
Mailing address
801 TOLL HOUSE AVE STE H4, FREDERICK, MD 21701-4555
(301) 698-9444
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0007805
MD
Other
Enumeration date
04/08/2020
Last updated
07/07/2021
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