Provider Demographics
NPI:1154573590
Name:WASFI, MARYAM (MD)
Entity type:Individual
Prefix:DR
First Name:MARYAM
Middle Name:
Last Name:WASFI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:7106 RIDGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3883
Mailing Address - Country:US
Mailing Address - Phone:410-687-2300
Mailing Address - Fax:844-304-5355
Practice Address - Street 1:7106 RIDGE RD STE B
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3883
Practice Address - Country:US
Practice Address - Phone:410-687-2300
Practice Address - Fax:844-304-5355
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRS2008-0632207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine