Provider Demographics
NPI:1164481669
Name:GOITOM, ADIAM H (MD)
Entity Type:Individual
Prefix:
First Name:ADIAM
Middle Name:H
Last Name:GOITOM
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:6350 STEVENS FOREST RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-3231
Mailing Address - Country:US
Mailing Address - Phone:443-259-3770
Mailing Address - Fax:443-259-3910
Practice Address - Street 1:6350 STEVENS FOREST RD
Practice Address - Street 2:SUITE 105
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3231
Practice Address - Country:US
Practice Address - Phone:443-259-3770
Practice Address - Fax:443-259-3910
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0063966207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology