Individual
ABBAS MOTAZEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1160 VARNUM ST NE, 111, WASHINGTON, DC 20017
(202) 269-0381
(202) 269-0390
Mailing address
PO BOX 1410, GREAT FALLS, VA 22066
(202) 269-0381
(202) 269-0390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11580
DC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
11580
DC
207U00000X
Nuclear Medicine Physician
11580
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011001500
—
DC
Enumeration date
11/09/2006
Last updated
11/28/2023
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