Healthcare Provider Details

I. General information

NPI: 1841168192
Provider Name (Legal Business Name): REIMAZ MOHIELDIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10845 TOWN CENTER BLVD STE 108
DUNKIRK MD
20754-2712
US

IV. Provider business mailing address

10845 TOWN CENTER BLVD STE 108
DUNKIRK MD
20754-2712
US

V. Phone/Fax

Practice location:
  • Phone: 410-650-4346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: