Individual
DR. MITRA FOROOGH-NASSIRAEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7620 CARROLL AVE STE 201, TAKOMA PARK, MD 20912-6388
(018) 916-6473
(301) 891-6654
Mailing address
26005 RIDGE RD STE 200, DAMASCUS, MD 20872-1899
(301) 414-2300
(301) 414-0476
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0060745
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402938100
—
MD
Enumeration date
03/16/2006
Last updated
04/24/2019
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