Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | D0075407 | MD |
N | 207NS0135X | Procedural Dermatology | D0075407 | MD |
NPI | 1407014913 |
---|---|
Provider Name | Zaineb H Makhzoumi |
First Address | Baltimore, MD 21201 |
Second Address | Baltimore, MD 21201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 28/04/2014 |