Bahrami, Mariam Mcconnell
Bahrami, Mariam Mcconnell is an individual health care provider with primary practice located at 4379 Northview Dr , Bowie MD 20716-2603. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bahrami, Mariam Mcconnell can be contacted via phone (301) 262-2627.Contact Information
Primary practice address
4379 Northview Dr
Bowie MD 20716-2603
Phone: (301) 262-2627
Fax: (301) 262-8411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0057120 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0057120 | Maryland |
Profile Details
| NPI number | 1003912742 |
|---|---|
| LBN Legal business name | Bahrami, Mariam Mcconnell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Sep 28th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003912742 | NPPES |
| Maryland | MEDICAID | 820801800 |
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