Organization
REZA GHORBANI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA GHORBANI M.D. (PRESIDENT/MEDICAL DIRECTOR)
(781) 727-1352
Entity
Organization
Contact information
Practice address
5530 WISCONSIN AVE, 1550, BETHESDA, MD 20815-4404
(301) 220-1333
(301) 215-4157
Mailing address
PO BOX 71155, BETHESDA, MD 20813-1155
(301) 220-1333
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0065935
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D0065935
MD
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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