Healthcare Provider Details

I. General information

NPI: 1396724712
Provider Name (Legal Business Name): MEIMANAT B YOUSEFI D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 COLESVILLE RD
SILVER SPRING MD
20910-1656
US

IV. Provider business mailing address

9200 COLESVILLE RD
SILVER SPRING MD
20910-1656
US

V. Phone/Fax

Practice location:
  • Phone: 301-585-3200
  • Fax: 301-589-2394
Mailing address:
  • Phone: 301-585-3200
  • Fax: 301-589-2394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1486
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: