Foroogh-Nassiraee, Mitra

Foroogh-Nassiraee, Mitra is an individual health care provider with primary practice located at 7620 Carroll Ave Ste 201 , Takoma Park MD 20912-6388. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Foroogh-Nassiraee, Mitra can be contacted via phone (018) 916-6473.

Contact Information

Primary practice address
7620 Carroll Ave Ste 201 Takoma Park MD 20912-6388
Fax: (301) 891-6654
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0060745 Maryland

Profile Details

NPI number 1992774533
LBN Legal business name Foroogh-Nassiraee, Mitra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Apr 24th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992774533 NPPES
Maryland MEDICAID 402938100

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