Individual
DR. PIROOZ SABOORTINAT MOFRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10230 NEW HAMPSHIRE AVE, SUITE 204, SILVER SPRING, MD 20903-1400
(301) 408-7890
Mailing address
10230 NEW HAMPSHIRE AVE, SUITE 204, SILVER SPRING, MD 20903-1400
(301) 408-7890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A92949
CA
207RC0000X
Cardiovascular Disease Physician
A92949
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A92949
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136794 00
—
MD
Enumeration date
10/12/2006
Last updated
09/20/2010
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