# NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES LLC

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

## Provider details

- **NPI number:** 1639502313
- **Authorized official:** SAMANTHA MIHM (OFFICE MANAGER)
- **Authorized official phone:** (410) 744-0661

## Contact information

- **Practice address:** 3168 BRAVERTON ST STE 330, EDGEWATER, MD 21037-2680
- **Practice address phone:** (410) 744-0661
- **Practice address fax:** (410) 744-8036
- **Mailing address:** 700 GEIPE RD, ST. 200, CATONSVILLE, MD 21228-4147
- **Mailing address phone:** (410) 744-0661
- **Mailing address fax:** (410) 744-8036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |

## Other

- **Enumeration date:** 08/16/2013
- **Last updated:** 12/17/2025