Individual
MEHRDAD MOSTAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7525 GREENWAY CENTER DR STE T3, GREENBELT, MD 20770-3527
(301) 983-8237
(301) 983-3935
Mailing address
PO BOX 61443, POTOMAC, MD 20859-1443
(301) 983-8237
(301) 983-3935
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
D24061
MD
207RI0011X
Interventional Cardiology Physician
Primary
D24061
MD
207RI0011X
Interventional Cardiology Physician
MD420656
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022106
TRIGON BC/BS
VA
01
—
041618
AETNA US HEALTHCARE
MD
01
—
2118989
ALLIANCE, MDIPA, OPTIMUM
MD
01
—
25803
MD IPA
MD
05
—
32665
—
MD
05
—
326651600
—
MD
01
—
6256M
BC/BS MARYLAND
MD
Enumeration date
10/13/2005
Last updated
05/12/2023
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