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Individual

SEYED RAZI DADGAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2403 RESEARCH BLVD, STE 200, ROCKVILLE, MD 20850-6233
(301) 337-6412
(240) 912-4471
Mailing address
2403 RESEARCH BLVD, STE 200, ROCKVILLE, MD 20850-6233
(301) 337-6412
(240) 912-4471

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
12-110
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12-110
SURGICAL ASSISTANT
MD
Enumeration date
05/08/2014
Last updated
05/08/2014
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