MEDICARE: DR. MEHRAK MICHAEL MARZBAN 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	207W00000X	Ophthalmology Physician	D0074318	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	244045ZE3M	OTHER	MD	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	D0074318	OTHER	MD	PHYSICIAN LICENSE

General Provider Information

NPI Number	:	1740444181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEHRAK MICHAEL MARZBAN M.D.

Provider Business Mailing Address
First Line	:	831 UNIVERSITY BLVD E STE 11
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-2921
Country	:	US
Telephone Number	:	301-431-0431
Fax Number	:	301-431-0470

Provider Business Practice Location Address
First Line	:	831 UNIVERSITY BLVD E STE 11
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-2921
Country	:	US
Telephone Number	:	301-431-0431
Fax Number	:	301-431-0470

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

Provider Enumeration Date	:	07/15/2008
Last Update Date	:	01/07/2026

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Directions to “ DR. MEHRAK MICHAEL MARZBAN M.D.” Practice Location

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