Individual
ABOL HASSAN POURHAMIDI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8100 GOOD LUCK RD, STE 401, LANHAM, MD 20706-3512
(301) 459-2990
(301) 459-2991
Mailing address
PO BOX 658, GLEN ECHO, MD 20812-0658
(301) 459-2990
(301) 459-2991
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D0022930
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1974
CARE FIRST BCBS
DC
Enumeration date
03/02/2006
Last updated
07/08/2007
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