Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD15669 | DC |
NPI | 1326019589 |
---|---|
Provider Name | Dr. Oscar Mims |
First Address | Ashton, MD 20861-3631 |
Second Address | Washington, DC 20010-2927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 14/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E70286 | (02) | DC |