| Marissa Leigh Khajavi, MD | |
|
5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 | |
| (410) 837-2050 | |
| (866) 629-0091 |
| Full Name | Marissa Leigh Khajavi |
|---|---|
| Gender | Female |
| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
| Location | 5500 Knoll North Dr Ste 370, Columbia, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235543224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | P30079 (Maryland) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | D0085229 (Maryland) | Primary |
| Entity Name | Chase Brexton Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588606305 PECOS PAC ID: 5395644835 Enrollment ID: O20040512000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Leigh Khajavi, MD 1111 N Charles St, Baltimore, MD 21201-5505 Ph: (410) 837-2050 | Marissa Leigh Khajavi, MD 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 Ph: (410) 837-2050 |
Mrs. Simone H Brady, CRNP Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 6250 Old Dobbin Ln, Columbia, MD 21045 Phone: 410-730-3399 | |
Dr. Cynthia Merle Lipsitz, MD MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 7178 Columbia Gateway Dr, Columbia, MD 21046 Phone: 410-313-6109 Fax: 410-313-6108 | |
Ghazala Afaq Kazi, M.D., M.P.H. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6656 Dobbin Rd, Columbia, MD 21045 Phone: 410-381-1330 Fax: 410-381-5585 | |
Dr. Peter Lowell Beilenson, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 7178 Columbia Gateway Dr, Howard County Health Department, Columbia, MD 21046 Phone: 410-313-6363 Fax: 410-313-6303 |