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NPI Code Detail

MEDICARE: DR. AMIR MIRZAALIKHANI M.D.

MEDICARE: DR. AMIR MIRZAALIKHANI M.D.
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianD0046046MD
2207RP1001XPulmonary Disease PhysicianD0046046MD
3207R00000XInternal Medicine PhysicianD0046046MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
278210002OTHERDCCAREFIRST OF DC

General Provider Information

NPI Number : 1366447070
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMIR MIRZAALIKHANI M.D.
Provider Business Mailing Address
First Line : 8578 BRICKYARD RD
Second Line :
City : POTOMAC
State : MD
Zip : 20854-4833
Country : US
Telephone Number : 240-401-5699
Fax Number : 301-983-8110
Provider Business Practice Location Address
First Line : 11711 LIVINGSTON RD
Second Line :
City : FORT WASHINGTON
State : MD
Zip : 20744-5151
Country : US
Telephone Number : 301-203-2232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 10/12/2020

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