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MARISSA LEIGH KHAJAVI MD NPI 1235543224


NPI Information

NPI: 1235543224
Provider Name: MARISSA LEIGH KHAJAVI, MD
Classification: Preventive Medicine - 2083P0901X
Entity Type: Individual

Specialization: Public Health & General Preventive Medicine

Organization: CHASE BREXTON HEALTH SERVICES INC

PECOS Registration: Yes

Address:
5500 KNOLL NORTH DR STE 370
COLUMBIA, MD
ZIP 21045
Phone: (410) 837-2050
Get Directions

Marissa Leigh Khajavi, MD is a public health and general preventive medicine preventive medicine in Columbia, MD with 11 years of experience. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. Marissa Leigh Khajavi, MD NPI is 1235543224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5500 KNOLL NORTH DR STE 370
COLUMBIA, MD
ZIP 21045-393
Phone: (410) 837-2050
Fax: (866) 629-0091

The NPI 1235543224 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2014 and was last updated on 2/11/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyP30079MARYLANDNo
22083P0901XPreventive MedicinePublic Health & General Preventive MedicineD0085229MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.