Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0057375 | MD |
Y | 111NI0900X | Internist | D0057375 | MD |
N | 207U00000X | Nuclear Medicine Specialist | D0057375 | MD |
NPI | 1184657157 |
---|---|
Provider Name | Izzat Chalabi |
First Address | Lanham, MD 20706-3502 |
Second Address | Lanham, MD 20706-3502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 16/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H47843 | (02) |