# E P MOSHEDI MD PA

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

## Provider details

- **NPI number:** 1700045267
- **Authorized official:** EMIL PAYMAN MOSHEDI (PRESIDENT)
- **Authorized official phone:** (301) 552-5000

## Contact information

- **Practice address:** 9841 GREENBELT RD, SUITE 102, LANHAM, MD 20706-6269
- **Practice address phone:** (301) 552-5000
- **Mailing address:** PO BOX 630539, BALTIMORE, MD 21263-0539
- **Mailing address phone:** (301) 552-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D0042747 | MD | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 06/09/2008

## 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 |
