Individual
REZA MOGHADDASNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1422
(301) 896-3100
Mailing address
2303 FOX FIRE CT, RESTON, VA 20191-4605
(703) 376-1547
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
C0007346
MD
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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