Provider Demographics
NPI:1609045095
Name:MORIOM, SAZIA AKHTER
Entity type:Individual
Prefix:
First Name:SAZIA
Middle Name:AKHTER
Last Name:MORIOM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12800 MIDDLEBROOK RD STE 420
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5284
Mailing Address - Country:US
Mailing Address - Phone:240-731-3701
Mailing Address - Fax:
Practice Address - Street 1:12800 MIDDLEBROOK RD STE 420
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-5284
Practice Address - Country:US
Practice Address - Phone:240-731-3701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21150225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD053247Medicare PIN