MEDICARE: DR. MICHAEL P MULREANY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0202X	Pediatric Cardiology Physician	MD068369L	PA

General Provider Information

NPI Number	:	1104890425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL P MULREANY MD

Provider Business Mailing Address
First Line	:	12608 CELTIC CT
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20850-3769
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 WISCONSIN AVE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-5001
Country	:	US
Telephone Number	:	301-294-4959
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	02/01/2024

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