Provider Demographics
NPI:1548359011
Name:DOMINY, IRIS E (MD)
Entity type:Individual
Prefix:DR
First Name:IRIS
Middle Name:E
Last Name:DOMINY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9812 FALLS RD
Mailing Address - Street 2:# 114-287
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3976
Mailing Address - Country:US
Mailing Address - Phone:301-983-0614
Mailing Address - Fax:301-983-0614
Practice Address - Street 1:9801 GEORGIA AVE
Practice Address - Street 2:338
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5276
Practice Address - Country:US
Practice Address - Phone:301-637-9174
Practice Address - Fax:301-983-0614
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2012-07-27
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Provider Licenses
StateLicense IDTaxonomies
MDD0030890207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD491906Medicare PIN
MDB92901Medicare UPIN