Individual
KHACHATOOR SHAHVERDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1 RESEARCH CT, SU 450, ROCKVILLE, MD 20850-3221
(240) 403-4067
(301) 519-8001
Mailing address
1 RESEARCH CT, SU 450, ROCKVILLE, MD 20850-3221
(240) 403-4067
(301) 519-8001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NSAA 3871
MD
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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