# ATA O MOSHYEDI MD PA

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

## Provider details

- **NPI number:** 1548420417
- **Authorized official:** ATA O MOSHYEDI MD (PRESIDENT)
- **Authorized official phone:** (301) 805-4586

## Contact information

- **Practice address:** 7305 HANOVER PKWY, SUITE A, GREENBELT, MD 20770-2030
- **Practice address phone:** (301) 982-7900
- **Mailing address:** 7305 HANOVER PKWY, SUITE A, GREENBELT, MD 20770-2030
- **Mailing address phone:** (301) 982-7900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | D0009179 | MD | — |
| 207RG0100X | Gastroenterology Physician | D0046093 | MD | Yes |

## Other

- **Enumeration date:** 06/13/2008
- **Last updated:** 06/13/2008
