# ROSTAM NASSIRI, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ultima Medical & Aesthetics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871775361
- **Authorized official:** ROSTAM NASSIRI MD (PRESIDENT)
- **Authorized official phone:** (240) 686-1122

## Contact information

- **Practice address:** 19735 GERMANTOWN RD, SUITE 280, GERMANTOWN, MD 20874-1214
- **Practice address phone:** (240) 686-1122
- **Practice address fax:** (240) 686-1124
- **Mailing address:** 19735 GERMANTOWN RD, SUITE 280, GERMANTOWN, MD 20874-1214
- **Mailing address phone:** (240) 686-1122
- **Mailing address fax:** (240) 686-1124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0061989 | MD | Yes |

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 11/27/2007