Mezebish, David S
Mezebish, David S is an individual health care provider with primary practice located at 75 Thomas Johnson Dr Ste H , Frederick MD 21702-4895. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Mezebish, David S can be contacted via phone (301) 668-9850.Contact Information
Primary practice address
75 Thomas Johnson Dr Ste H
Frederick MD 21702-4895
Phone: (301) 668-9850
Fax: (301) 668-9853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 0101232840 | Virginia |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 0101232840 | Virginia |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 0101232840 | Virginia |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | D0043824 | Maryland |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 0101232840 | Virginia |
Profile Details
| NPI number | 1720059736 |
|---|---|
| LBN Legal business name | Mezebish, David S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Jan 25th, 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 | 1720059736 | NPPES |
| Virginia | MEDICAID | 010165156 | |
| Virginia | Other | 001734127 | |
| Virginia | MEDICAID | 3810002827 | |
| Virginia | Other | 180145 | |
| Virginia | Other | 61854810 | |
| Virginia | Other | P00252754 | |
| Virginia | Other | 0001 |
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