Provider Demographics
NPI:1356753651
Name:DARAMY BARLATT, FATMATA (MD)
Entity type:Individual
Prefix:DR
First Name:FATMATA
Middle Name:
Last Name:DARAMY BARLATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FATMATA
Other - Middle Name:
Other - Last Name:DARAMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13 C ST STE D
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4152
Mailing Address - Country:US
Mailing Address - Phone:301-476-4799
Mailing Address - Fax:
Practice Address - Street 1:13 C ST STE D
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4152
Practice Address - Country:US
Practice Address - Phone:301-476-4799
Practice Address - Fax:301-349-1204
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-21
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD200001366207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty