Individual
DR. MITRA AHADPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11421 PATRIOT LN, POTOMAC, MD 20854-3749
(301) 299-3789
Mailing address
11421 PATRIOT LN, POTOMAC, MD 20854-3749
(301) 299-3789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52-2196053
MD
Other
Enumeration date
07/05/2010
Last updated
07/05/2010
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