MEDICARE: DR. ALIA IRSHAD M.D.

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
1	208000000X	Pediatrics Physician	D0066558	MD

General Provider Information

NPI Number	:	1720277114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALIA IRSHAD M.D.

Provider Business Mailing Address
First Line	:	3535 SHEFFIELD MANOR TER
Second Line	:	APT 303
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7286
Country	:	US
Telephone Number	:	202-957-3630
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N WOLFE ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21287-0005
Country	:	US
Telephone Number	:	410-955-5089
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2007
Last Update Date	:	10/22/2007

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