Provider Demographics
NPI:1265612618
Name:AMSLER, HAIZIA LAMIA (MD)
Entity type:Individual
Prefix:
First Name:HAIZIA
Middle Name:LAMIA
Last Name:AMSLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HAIZIA
Other - Middle Name:LAMIA
Other - Last Name:MECHENTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:18117 IVY LN
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-2009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2800
Practice Address - Country:US
Practice Address - Phone:301-557-2110
Practice Address - Fax:301-557-2120
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY41830208M00000X
MDD0070027207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000057415GOtherHUMANA
KY7100078820Medicaid
KY000000602803OtherANTHEM
KY000000602803OtherANTHEM
KY00162053Medicare PIN