NPI 1487115010 · live from the CMS NPI Registry
Marielle Mahan, MD
Ophthalmology in Bethesda, MD. National Provider Identifier 1487115010, active.
NPI record
| NPI | 1487115010 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 5612 Shields Dr, Bethesda, MD 20817 |
| Practice phone | 301-571-4334 |
| Mailing address | 11300 Rockville Pike Ste 1202, Rockville, MD 20852 |
| Enumerated | March 27, 2019 |
| Last updated | October 2, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | D0103387 (MD) |
| Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | MD600004334 (DC) |
| Ophthalmology | 207W00000X | MD600004334 (DC) |
| Ophthalmology primary | 207W00000X | D0103387 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.