Provider Demographics
NPI:1447421524
Name:COSMOPOLITAN ENDOCRINOLOGY
Entity Type:Organization
Organization Name:COSMOPOLITAN ENDOCRINOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEELOFAR
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-253-4733
Mailing Address - Street 1:17621 AUBURN VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20860-1045
Mailing Address - Country:US
Mailing Address - Phone:202-253-4733
Mailing Address - Fax:301-570-6286
Practice Address - Street 1:12510 PROSPERITY DR
Practice Address - Street 2:SUITE 140
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1663
Practice Address - Country:US
Practice Address - Phone:301-680-0060
Practice Address - Fax:301-680-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0061816207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty