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OBGYN AFFILIATES PA NPI 1730293416


NPI Information

NPI: 1730293416
Provider Name: OBGYN AFFILIATES, PA

Former Legal Business Name: OBGYN AFFILIATES IMAD S MUFARRIJ, MANJIT RISAM

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3060 MITCHELLVILLE RD
SUITE 210
BOWIE, MD
ZIP 20716
Phone: (301) 249-4090
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OBGYN AFFILIATES, PA is a specialist in Bowie, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OBGYN AFFILIATES, PA NPI is 1730293416. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Obgyn Affiliates Imad S Mufarrij, Manjit Risam.

The provider's business location address is:

3060 MITCHELLVILLE RD
SUITE 210
BOWIE, MD
ZIP 20716
Phone: (301) 249-4090
Fax: (301) 390-1344

The provider's authorized official is Imad Mufarrij .
The authorized official title is Owner/md and has the following contact phone number (301) 249-4090.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 2/21/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistD0032735MARYLANDYes
2174400000XSpecialistD0031265MARYLANDNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
141836101OTHERMARYLANDBLUE CROSS BLUE SHIELD
2528351500MEDICAIDMARYLAND

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: 5/5/2024

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