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Organization
ATA O MOSHYEDI MD PA
Active
Organization
ATA O MOSHYEDI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATA O MOSHYEDI MD (PRESIDENT)
(301) 805-4586
Entity
Organization
Contact information
Practice address
7305 HANOVER PKWY, SUITE A, GREENBELT, MD 20770-2030
(301) 982-7900
Mailing address
7305 HANOVER PKWY, SUITE A, GREENBELT, MD 20770-2030
(301) 982-7900
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
D0009179
MD
207RG0100X
Gastroenterology Physician
Primary
D0046093
MD
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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