Individual
MEHRDAD MICHAEL MASSUMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 KENILWORTH DR, SUITE 200, TOWSON, MD 21204-2313
(410) 825-5905
(410) 825-7712
Mailing address
660 KENILWORTH DR, SUITE 200, TOWSON, MD 21204-2313
(410) 825-5905
(410) 825-7712
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D32831
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03818011
UNITED HEALTH CARE
MD
01
—
233387
KAISER PERMANENTE
MD
01
—
25221
JOHNS HOPKINS EHP
MD
01
—
25933
ONENETPPO
MD
01
—
401629-01
CAREFIRST BCBS
MD
01
—
4133322
AETNA
MD
01
—
452330
AETNA HMO
MD
01
—
76334
FIRST HEALTH
MD
01
—
E658
CAREFIRST BLUECHOICE
DC
Enumeration date
06/04/2006
Last updated
07/09/2007
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