Individual
DR. REZA GHORBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7501 GREENWAY CENTER DR, SUITE 660, GREENBELT, MD 20770-3514
(301) 220-1333
(240) 539-2533
Mailing address
PO BOX 71155, CHEVY CHASE, MD 20813-1155
(301) 220-1333
(240) 539-2533
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
82190
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D0065935
MD
208VP0014X
Interventional Pain Medicine Physician
82190
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3169421
—
MA
Enumeration date
12/07/2005
Last updated
09/11/2015
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