Individual
OMID G MOAYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7490 NEW TECHNOLOGY WAY, FREDERICK, MD 21703-8370
(240) 566-1600
Mailing address
PO BOX 64793, BALTIMORE, MD 21264-4793
(410) 328-6704
(410) 328-4124
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D59380
MD
207L00000X
Anesthesiology Physician
Primary
ME145213
FL
2086S0102X
Surgical Critical Care Physician
D59380
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050090113
RAILROAD MEDICARE
MD
05
—
510509900
—
MD
Enumeration date
05/31/2006
Last updated
11/03/2025
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