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NPI Code Detail

MEDICARE: MARIAM AL-AKHDAR

MEDICARE: MARIAM AL-AKHDAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101Y00000XCounselorA177021NC

General Provider Information

NPI Number : 1437898590
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAM AL-AKHDAR
Provider Business Mailing Address
First Line : 11428 ROYAL AMBER WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27614-9896
Country : US
Telephone Number : 919-213-1331
Fax Number :
Provider Business Practice Location Address
First Line : 11428 ROYAL AMBER WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27614-9896
Country : US
Telephone Number : 919-213-1331
Fax Number : 919-741-4741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2022
Last Update Date : 06/17/2022

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Directions to “ MARIAM AL-AKHDAR ” Practice Location

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