# POTOMAC PODIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235319948
- **Authorized official:** DR. FARIBA AZIZINAMINI D.P.M. (OWNER)
- **Authorized official phone:** (301) 216-2269

## Contact information

- **Practice address:** 11906 DARNESTOWN RD, SUITE \# G, NORTH POTOMAC, MD 20878-2200
- **Practice address phone:** (301) 216-2269
- **Practice address fax:** (301) 216-0288
- **Mailing address:** 11906 DARNESTOWN RD, SUITE \# G, NORTH POTOMAC, MD 20878-2200
- **Mailing address phone:** (301) 216-2269
- **Mailing address fax:** (301) 216-0288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 01315 | MD | Yes |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 12/28/2007