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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TESSA MIRJAFARY, PA-C

Deactivated

TESSA MIRJAFARY, PA-C is a Medical Physician Assistant healthcare provider located in BALTIMORE, Maryland. NPI 1477152320 is deactivated in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BALTIMORE, MD

This NPI has been deactivated. The record was deactivated on August 27, 2024. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1477152320
Provider Type
Individual
Gender
Female
NPI Issued
Oct 21, 2020 (3.8497267759563 yrs)
Last Updated
Jan 23, 2025
Deactivated
Aug 27, 2024
Licenses
DX4791 (MD)
C0009629 (MD)

Practice Information

Address
1800 ORLEANS ST
BALTIMORE, MD, 212870010
Browse MD providers · Browse ZIP 21287
Phone
4105022037
Fax
4109550737
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in BALTIMORE, MD

Name Credential NPI
CAROL MARIE SCOTT PA 1619970464
MR. STEPHEN ARTHUR BONNING PA-C 1558356006
MR. DENNIS W RIVENBURGH PHYSICIAN ASSTISTANT 1669454104
MRS. MICHELLE ANN MCDONNELL PA 1619952157
MR. MAXWELL RICHARD WEESE PA 1003888033
MS. YELENA GERASHCHENKO P.A. 1013989573
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.