Organization
CYRUS HAMIDI, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYRUS HAMIDI M.D. (MANAGING PHYSICIAN)
(410) 472-6560
Entity
Organization
Contact information
Practice address
913 RIDGEBROOK RD, SUITE 312, SPARKS, MD 21152-9455
(410) 472-6560
Mailing address
913 RIDGEBROOK RD, SUITE 312, SPARKS, MD 21152-9455
(410) 472-6560
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134102775
INDIVIDUAL NPI
MD
01
—
377R
INDIVIDUAL MEDICARE PIN
MD
Enumeration date
10/22/2007
Last updated
03/24/2008
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