Healthcare Provider Details

I. General information

NPI: 1588581227
Provider Name (Legal Business Name): PATHWAY WEIGHT LOSS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7308 DONNELL PL APT D1
DISTRICT HEIGHTS MD
20747-4241
US

IV. Provider business mailing address

7308 DONNELL PL APT D1
DISTRICT HEIGHTS MD
20747-4241
US

V. Phone/Fax

Practice location:
  • Phone: 240-277-2395
  • Fax:
Mailing address:
  • Phone: 240-277-2395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MULIKAT ISHOLA
Title or Position: AUTHORIZED OWNER
Credential: NP-F
Phone: 240-277-2395