Healthcare Provider Details

I. General information

NPI: 1538188412
Provider Name (Legal Business Name): NAREESA AYESHA MOHAMMED-RAJPUT M.D., MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NAREESA AYESHA MOHAMMED M.D.

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5570 STERRETT PL STE 210
COLUMBIA MD
21044-2641
US

IV. Provider business mailing address

5033 SUMMER SOLSTICE PL
ELLICOTT CITY MD
21043-7498
US

V. Phone/Fax

Practice location:
  • Phone: 301-569-2129
  • Fax: 833-764-6146
Mailing address:
  • Phone: 301-569-2129
  • Fax: 833-764-6146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberD0064762
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0064762
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: