Individual
ALI SEYED SAJJADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8115 MAPLE LAWN BLVD STE 140, FULTON, MD 20759
(240) 459-1830
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-5412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036131213
IL
207Q00000X
Family Medicine Physician
Primary
D84017
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036131213
PHYSICIAN LICENSE
IL
Enumeration date
07/13/2009
Last updated
03/15/2019
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