Individual
VIDA FALAHATIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21044 FREDERICK RD, GERMANTOWN, MD 20876-4132
(240) 238-5432
Mailing address
390 BIRCH STREET, MORGANTOWN, WV 26506
(304) 293-3693
(304) 293-2629
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
D0095473
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
08/15/2023
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