Individual
DR. ATA MOTAMEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0063999
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033
CAREFIRST BCBS
DC
01
—
1194549
AETNA HMO
MD
01
—
132355
JHHC
MD
05
—
409839100
—
MD
01
—
5901543
AETNA PPO
MD
01
—
65112701
CAREFIRST BCBS
MD
01
—
P00307411
RR MEDICARE
MD
Enumeration date
09/29/2005
Last updated
12/27/2012
Update your record
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