Organization
PREMIER PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SASSAN TAGHIZADEHMOGHADDAM (CFO/MEMBER)
(202) 269-4770
Entity
Organization
Contact information
Practice address
3546 WORTHINGTON BLVD UNIT 301, FREDERICK, MD 21704-7126
(301) 979-9772
(301) 355-0076
Mailing address
PO BOX 34202, BETHESDA, MD 20827-0202
(301) 979-9772
(301) 355-0076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
03/26/2025
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