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Organization

M MICHAEL MASSUMI, MD, PA

Active
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Organization

M MICHAEL MASSUMI, MD, PA

Active
Parent organization
M. MICHAEL MASSUMI, M.D., P.A.
Organization subpart
Yes

Provider details

NPI number
Legal business name
M. MICHAEL MASSUMI, M.D., P.A.
Authorized official
DR. MEHRDAD MICHAEL MASSUMI MD (OWNER/PRESIDENT)
(410) 825-5905
Entity
Organization

Contact information

Practice address
15201 SHADY GROVE RD STE 102, ROCKVILLE, MD 20850-3217
(410) 825-5905
(410) 825-7712
Mailing address
15201 SHADY GROVE RD STE 102, ROCKVILLE, MD 20850-3217
(410) 825-5905
(410) 825-7712

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL

Other

Enumeration date
07/16/2026
Last updated
07/16/2026
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