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Organization
E P MOSHEDI MD PA
Active
Organization
E P MOSHEDI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL PAYMAN MOSHEDI (PRESIDENT)
(301) 552-5000
Entity
Organization
Contact information
Practice address
9841 GREENBELT RD, SUITE 102, LANHAM, MD 20706-6269
(301) 552-5000
Mailing address
PO BOX 630539, BALTIMORE, MD 21263-0539
(301) 552-5000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0042747
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023658
AETNA
MD
01
—
180031454
RAILROAD MEDICARE
MD
01
—
255643
MAMSI
MD
01
—
3530 0001
CAREFIRST BLUECROSS BLUESHIELD
MD
05
—
593010300
—
MD
01
—
88630
AMERIGROUP
MD
Enumeration date
06/09/2008
Last updated
06/09/2008
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