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Individual

KAVEH SADEGHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14113 BALTIMORE AVE STE A, LAUREL, MD 20707
(013) 498-9494
(301) 498-6301
Mailing address
PO BOX 2510, LAUREL, MD 20709-2510
(301) 498-9494
(301) 498-6301

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101246824
VA
207Q00000X
Family Medicine Physician
Primary
D0070134
MD

Other

Enumeration date
05/28/2010
Last updated
12/04/2023
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