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General NPI Number Information
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NPI Number | 1942217781
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Entity Type | Individual
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Provider Name | MULAI T. YOHANNES M.D
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 03/15/2008
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Provider Practice Location Address
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Address Line | 9801 GREENBELT RD SUITE 101
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City | LANHAM
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State | MD
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Zip | 20706-2273
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Country | US
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Telephone | 301-552-6666
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Fax | 301-552-6216
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Provider Business Mailing Address
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Address Line | 10724 CLOVERBROOKE DR
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City | POTOMAC
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State | MD
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Zip | 20854-6372
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Country | US
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Telephone | 301-424-9065
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Fax | 301-424-9065
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0059094
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License Number State | MD
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Taxonomy #2
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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 | D0059094
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | D0059094
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License Number State | MD
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