Individual
DR. PANTEHA TAMJIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5454 WISCONSIN AVE, SUITE 1045, CHEVY CHASE, MD 20815-6917
(301) 652-4828
(301) 652-2070
Mailing address
1211A TOWLSTON RD, GREAT FALLS, VA 22066-2216
(703) 759-1121
(703) 356-0447
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101231459
VA
207N00000X
Dermatology Physician
D0063624
MD
207N00000X
Dermatology Physician
Primary
MD0354490
DC
207NS0135X
Procedural Dermatology Physician
D0063624
MD
Other
Enumeration date
08/05/2006
Last updated
03/05/2019
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