Maryam Boumezrag, MD
Radiology, Vascular & Interventional Radiology in Clinton, MD. Individual provider (NPI-1).
NPI number1982164042
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1982164042
- Entity type
- Individual (NPI-1)
- Name
- Maryam Boumezrag
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2019
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | D0103953 | MD | Yes |
Practice location
7503 Surratts RdClinton, MD 20735-3358
Phone 301-868-8000
Mailing address
3800 Reservoir Rd NwWashington, DC 20007-2113
Phone 202-444-5022 · Fax 202-444-7987
Other practice locations
3800 Reservoir Rd Nw
Washington, DC 20007-2113
Washington, DC 20007-2113
Phone 202-444-5022 · Fax 202-444-7987
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