Maisami, Mohammad
Maisami, Mohammad is an sole proprietor health care provider with primary practice located at 26 W Pennsylvania Ave , Towson MD 21204-5001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Maisami, Mohammad can be contacted via phone (410) 321-7907.Contact Information
Primary practice address
26 W Pennsylvania Ave
Towson MD 21204-5001
Phone: (410) 321-7907
Fax: (410) 321-0337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | D0018915 | Maryland |
Profile Details
| NPI number | 1376693051 |
|---|---|
| LBN Legal business name | Maisami, Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1376693051 | NPPES |
| Maryland | Other | D0018915 | MEDICAL LICENSE |
| Maryland | MEDICAID | 459141100 | MEDICAL LICENSE |
| Maryland | Other | MO5471 | MEDICAL LICENSE |
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