# DR. MEHRDAD MOTAMED

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740236793
- **Gender:** Man
- **Credential:** MD.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 25MA091265000 | NJ | — |
| 207X00000X | Orthopaedic Surgery Physician | 4442 | RI | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 08/30/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1780672709 | ORGANIZATION NPI\# | — |
