# MID ATLANTIC ADDICTION MEDICINE

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

## Provider details

- **NPI number:** 1396154290
- **Authorized official:** EHSAN ABDESHAHIAN MD (PRESIDENT)
- **Authorized official phone:** (405) 306-0384

## Contact information

- **Practice address:** 1110 BENFIELD BLVD, SUITE J, MILLERSVILLE, MD 21108-2639
- **Practice address phone:** (410) 923-1382
- **Mailing address:** 1125 MADISON ST, APT 314, ALEXANDRIA, VA 22314-6409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2014
- **Last updated:** 08/05/2014