NPI Code Details Logo

NPI 1780870618

NPI 1780870618 : MUZNA ADIL M.D. : SUITLAND, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780870618
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MUZNA ADIL M.D.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/25/2007
-----------------------------------------------------
    Last Update Date     |    11/23/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5100 AUTH WAY 
-----------------------------------------------------
    City                 |    SUITLAND
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20746-4207
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-702-5241
-----------------------------------------------------
    Fax                  |    301-702-5117
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2101 E JEFFERSON ST KAISER PERMANENTE MEDICARE ENROLLMENT
-----------------------------------------------------
    City                 |    ROCKVILLE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20852-4908
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-816-2424
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RN0300X
-----------------------------------------------------
    Taxonomy Name        |    Nephrology Physician
-----------------------------------------------------
    License Number       |    MD036792
-----------------------------------------------------
    License Number State |    DC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RN0300X
-----------------------------------------------------
    Taxonomy Name        |    Nephrology Physician
-----------------------------------------------------
    License Number       |    D67705
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.