Individual
DR. MOHAMMAD REZA RAHNAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9512 HARFORD RD STE 4, PARKVILLE, MD 21234-3127
(410) 665-4400
(410) 661-2420
Mailing address
9512 HARFORD RD, SUITE 4, PARKVILLE, MD 21234-3100
(410) 665-4400
(410) 661-2420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0045475
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110118499
MEDICARE RAILROAD
MD
05
—
371241900
—
MD
01
—
53440804
BLUE SHEILD OF MD
MD
01
—
552987
AETNA PLANS
MD
01
—
E268-0002
FEDERAL BLUE SHIELD
MD
Enumeration date
01/04/2007
Last updated
02/23/2022
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