Doctor Amir Mirzaalikhani, PA

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

D0026262 Issued in MD

Legal business name

DOCTOR AMIR MIRZAALIKHANI, PA

Practice address

101 Centennial St Ste B
La Plata, MD 20646-5976

Phone

(301) 934-6060

Fax

(301) 934-4523

NPI assigned

Jan 18, 2007

Last updated

Dec 9, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amir M Alikhani, MD

Title

President

Phone

(301) 983-6656

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1659423648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8578 BRICKYARD RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544833",
            "telephone_number": "301-983-6656",
            "fax_number": "301-983-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CENTENNIAL ST STE B",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465976",
            "telephone_number": "301-934-6060",
            "fax_number": "301-934-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR AMIR MIRZAALIKHANI, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "ALIKHANI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-983-6656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0026262",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0046046",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403163600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Medicine (Internal Medicine) Physician in La Plata, MD
• Providers in La Plata, MD by specialty
• Critical Care Medicine (Internal Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.