Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | D0066418 | MD |
NPI | 1871704171 |
---|---|
Provider Name | Donna Mazloomdoost |
First Address | Silver Spring, MD 20910-1467 |
Second Address | Silver Spring, MD 20910-1467 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 26/09/2017 |