Individual
MORTEZA SEYED AHMADIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1708 PASTURE BROOK WAY, POTOMAC, MD 20854-2947
(301) 340-6702
Mailing address
1708 PASTURE BROOK WAY, POTOMAC, MD 20854-2947
(301) 340-6702
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
D0000378
MD
213ER0200X
Radiology Podiatrist
Primary
D0000378
MD
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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