Individual
MR. EHSAN KHADEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6105 57TH AVE, SUITE 200, RIVERDALE, MD 20737-2125
(301) 779-2225
(301) 445-7903
Mailing address
6105 57TH AVE, SUITE 200, RIVERDALE, MD 20737-2125
(301) 779-2225
(301) 445-7903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1795
MD
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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