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Individual

MULAI T. YOHANNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
9801 GREENBELT RD, SUITE 101, LANHAM, MD 20706-2273
(301) 552-6666
(301) 552-6216
Mailing address
10724 CLOVERBROOKE DR, POTOMAC, MD 20854-6372
(301) 424-9065
(301) 424-9065

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0059094
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0059094
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0059094
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000031055
CARE IMPROVEMENTS PLUS
01
11959
BRAVO HEALTH
01
1334424
AETNA
01
237197
KAISER
01
4801528
AMERICHOICE
01
5557-0001
BCBS CAREFIRST
01
7496427ML2
MAMSI
01
P00335012
PALMETO GBA-RAILROAD MEDI
Enumeration date
08/02/2006
Last updated
03/15/2008
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