Maryam Esfahani Zareh
Physician Assistant in Gaithersburg, MD. Individual provider (NPI-1).
NPI number1083254387
StatusActive
Last updated in NPPESMay 22, 2020
Details
- NPI
- 1083254387
- Entity type
- Individual (NPI-1)
- Name
- Maryam Esfahani Zareh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 14, 2020
- Certification date
- May 22, 2020
- Last updated
- May 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110007101 | VA | Yes |
| 363A00000X | Physician Assistant | C0007431 | MD |
Practice location
18516 Gingerbread LnGaithersburg, MD 20877-3534
Phone 240-380-6507
Mailing address
18516 Gingerbread LnGaithersburg, MD 20877-3534
Phone 240-380-6507
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