# MOTAMEDI AND ASSOCIATES INTERNAL MEDICINE,PC

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

## Provider details

- **NPI number:** 1437219094
- **Authorized official:** ATA MOTAMEDI M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (301) 924-2790

## Contact information

- **Practice address:** 17904 GEORGIA AVE, SUITE 304, OLNEY, MD 20832-2239
- **Practice address phone:** (301) 924-2790
- **Practice address fax:** (301) 924-1631
- **Mailing address:** PO BOX 309, OLNEY, MD 20830-0309
- **Mailing address phone:** (301) 824-2790
- **Mailing address fax:** (301) 924-1631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D063999 | MD | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 12/27/2012