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Organization

WASHINGTON ORTHOPAEDIC & KNEE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MEHRDAD M MALEK MD (PRESIDENT)
(703) 448-8010
Entity
Organization

Contact information

Practice address
7801 OLD BRANCH AVENUE, SUITE 409, CLINTON, MD 20635
(240) 318-0420
(240) 318-0433
Mailing address
PO BOX 10626, MCLEAN, VA 22102-9626
(703) 448-8010
(703) 821-5633

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021798
ANTHEM BLUE SHIELD
01
504174
AETNA
01
H295WA
CAREFIST MARYLAND
MD
Enumeration date
05/08/2006
Last updated
10/02/2007
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