Martin, Misha
Martin, Misha is an individual health care provider with primary practice located at 12850 Middlebrook Rd Ste 200 , Germantown MD 20874-5244. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Martin, Misha can be contacted via phone (301) 540-5900.Contact Information
Primary practice address
12850 Middlebrook Rd Ste 200
Germantown MD 20874-5244
Phone: (301) 540-5900
Fax: (301) 540-8974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0055283 | Maryland |
Profile Details
| NPI number | 1124090188 |
|---|---|
| LBN Legal business name | Martin, Misha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jul 1st, 2020 - about 4 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 | 1124090188 | NPPES |
| Maryland | MEDICAID | 404760500 |
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