IndividualActive
Marissa Khajavi, MD
NPI 1235543224 · Public Health & General Preventive Medicine Physician · Columbia, MD
Provider details
- NPI number
- 1235543224
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- P30079 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5500 Knoll North Dr Ste 370
Columbia, MD 21045-2393
Phone: (410) 837-2050
Fax: (866) 629-0091
Approximate (ZIP-level) locationGet directions
Mailing address
1111 N Charles St
Baltimore, MD 21201-5505
Registry dates
- Enumerated
- 2014-06-17
- Last updated
- 2021-02-11
- Certified
- 2021-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.