Individual
AMIN JAHEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 SAINT PATRICKS DR, WALDORF, MD 20603-4527
(240) 448-2973
Mailing address
10 SAINT PATRICKS DR, WALDORF, MD 20603-4527
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01643
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
N006815
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
777959300
—
MD
Enumeration date
04/11/2015
Last updated
12/13/2021
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