Organization
BLOSSOMING MINDS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEYVAN RAFEI MD (MEDICAL DIRECTOR)
(240) 506-0739
Entity
Organization
Contact information
Practice address
11723 TROTTER CROSSING LN, CLARKSVILLE, MD 21029-1445
(240) 506-0739
Mailing address
11723 TROTTER CROSSING LN, CLARKSVILLE, MD 21029-1445
(240) 506-0739
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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