Individual
DR. MOHAMAD AGHAIE MEYBODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 W UNIVERSITY PKWY APT 704, BALTIMORE, MD 21210-3429
(443) 739-5219
Mailing address
116 W UNIVERSITY PKWY APT 704, BALTIMORE, MD 21210-3429
(443) 739-5219
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-251-609-008-959
DRIVER'S LICENSE
MD
Enumeration date
04/01/2020
Last updated
04/01/2020
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