Provider Demographics
NPI:1275544363
Name:MUFARRIJ, WALID AFIF (MD)
Entity Type:Individual
Prefix:
First Name:WALID
Middle Name:AFIF
Last Name:MUFARRIJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 GREENWAY CENTER DR
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3502
Mailing Address - Country:US
Mailing Address - Phone:301-477-2000
Mailing Address - Fax:301-474-2389
Practice Address - Street 1:7500 GREENWAY CENTER DR
Practice Address - Street 2:8TH FLOOR
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3502
Practice Address - Country:US
Practice Address - Phone:301-477-2000
Practice Address - Fax:301-474-2389
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0018408208800000X
DCMD14543208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
34331OtherOPTIMUM CHOICE
G02425M09OtherMEDICARE
028051OtherPRIORITY PARTNERS
028051OtherJOHN HOPKINS
MD257671600Medicaid
4089824OtherAETNA PPO
57620009OtherBCBS DC
1327858OtherCIGNA
1901971OtherUNITED HEALTHCARE AMERICHOICE
34327501OtherBCBS MD GREENBELT OFFICE
34327502OtherBCBS MD ROCKVILLE OFFICE
P00439845OtherRAILROAD MEDICARE
1467406OtherAETNA HMO
1900278OtherUNITED HEALTHCARE AMERICHOICE
432105237OtherBRAVO HEALTH
57620009OtherBCBS DC
MD257671600Medicaid