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General NPI Number Information
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NPI Number | 1376973362
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Entity Type | Organization
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Legal Business Name | ANACOSTIA MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 11116 MEDICAL CAMPUS RD
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6710
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Country | US
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Telephone | 301-790-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 8408 ADLER CT
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1771
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GEN PTR
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Name | DR. MILAD L POORAN
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Credential | M.D.
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Telephone | 240-667-2099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD036935
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License Number State | DC
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