Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD038574 | DC |
N | 207RA0401X | Internist - Addiction Medicine | MD038574 | DC |
NPI | 1265593305 |
---|---|
Provider Name | Dr. Maryann Elizabeth Amirshahi |
First Address | Washington, DC 20010-3017 |
Second Address | Washington, DC 20010-3017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 03/06/2020 |