MISS Shayesteh Maryam Izaddoost, O.D.

NPI #1396875910 in Fort George G Meade, Maryland

Provider Information

NPI Number: 1396875910
Entity Type: Individual
Name: MISS Shayesteh Maryam Izaddoost, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Mar 6, 2007
Last Updated: Aug 25, 2022

Practice Location

Address: 2480 LLEWELLYN AVE
City: Fort George G Meade
State: Maryland
ZIP Code: 20755-7081
Phone: (301) 677-8950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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