Healthcare Provider Details

I. General information

NPI: 1093293631
Provider Name (Legal Business Name): MARYAM MUNIR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2018
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

665 BAY ROAD, UNIT B
DOVER DE
19901
US

IV. Provider business mailing address

640 S STATE ST
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-608-5300
  • Fax: 302-678-2552
Mailing address:
  • Phone: 302-608-5300
  • Fax: 302-678-2552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberC1-0025756
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: