Organization
ADVANCED GI ASSOCIATES LLC
Active
Other names
ADVANCED GASTROENTEROLOGY ASSOCIATES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOMAYOON MAHJOOB M.D. (SOLE MBR)
(301) 770-5711
Entity
Organization
Contact information
Practice address
10846 ANTIGUA TER, #203, NORTH BETHESDA, MD 20852-5532
(301) 770-5711
Mailing address
10846 ANTIGUA TER, #203, NORTH BETHESDA, MD 20852-5532
(301) 770-5711
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0058186
MD
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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