Basic Information
| Provider Information | |||||||||
| NPI: | 1275544363 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MUFARRIJ | ||||||||
| FirstName: | WALID | ||||||||
| MiddleName: | AFIF | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7500 GREENWAY CENTER DR | ||||||||
| Address2: | 8TH FLOOR | ||||||||
| City: | GREENBELT | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207703502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014772000 | ||||||||
| FaxNumber: | 3014742389 | ||||||||
| Practice Location | |||||||||
| Address1: | 7500 GREENWAY CENTER DR | ||||||||
| Address2: | 8TH FLOOR | ||||||||
| City: | GREENBELT | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207703502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014772000 | ||||||||
| FaxNumber: | 3014742389 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2006 | ||||||||
| LastUpdateDate: | 01/25/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | D0018408 | MD | Y | Allopathic & Osteopathic Physicians | Urology | 208800000X | MD14543 | DC | N | Allopathic & Osteopathic Physicians | Urology |
ID Information
| ID | Type | State | Issuer | Description | 34331 | 01 | OPTIMUM CHOICE | OTHER | G02425M09 | 01 | MEDICARE | OTHER | 028051 | 01 | PRIORITY PARTNERS | OTHER | 028051 | 01 | JOHN HOPKINS | OTHER | 257671600 | 05 | MD | MEDICAID | 4089824 | 01 | AETNA PPO | OTHER | 57620009 | 01 | BCBS DC | OTHER | 1327858 | 01 | CIGNA | OTHER | 1901971 | 01 | UNITED HEALTHCARE AMERICHOICE | OTHER | 34327501 | 01 | BCBS MD GREENBELT OFFICE | OTHER | 34327502 | 01 | BCBS MD ROCKVILLE OFFICE | OTHER | P00439845 | 01 | RAILROAD MEDICARE | OTHER | 1467406 | 01 | AETNA HMO | OTHER | 1900278 | 01 | UNITED HEALTHCARE AMERICHOICE | OTHER | 432105237 | 01 | BRAVO HEALTH | OTHER |