# DR. ATA MOTAMEDI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013904606
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0063999 | MD | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 12/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0033 | CAREFIRST BCBS | DC |
| 01 | — | 1194549 | AETNA HMO | MD |
| 01 | — | 132355 | JHHC | MD |
| 05 | — | 409839100 | — | MD |
| 01 | — | 5901543 | AETNA PPO | MD |
| 01 | — | 65112701 | CAREFIRST BCBS | MD |
| 01 | — | P00307411 | RR MEDICARE | MD |