Mehrdad Michael Massumi
Pain Medicine
660 Kenilworth Dr Suite 200
Towson
, Maryland 21204-2313
Mehrdad Michael Massumi
Pain Medicine
660 Kenilworth Dr Suite 200
Towson
, Maryland 21204-2313
(410) 825-7712
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Mehrdad Michael Massumi
- 660 Kenilworth Dr Suite 200
- Towson, MD
- Zip : 21204-2313
- Fax : (410) 825-7712
- Phone : (410) 825-5905
Second Address
- Mehrdad Michael Massumi
- 660 Kenilworth Dr Suite 200
- Towson, MD
- Zip : 21204-2313
- Fax : (410) 825-7712
- Phone : (410) 825-5905
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | D32831 | MD |
National Provider Identifier
| NPI | 1407894975 |
|---|---|
| Provider Name | Mehrdad Michael Massumi |
| First Address | Towson, MD 21204-2313 |
| Second Address | Towson, MD 21204-2313 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03818011 | UNITED HEALTH CARE (01) | MD |
| 233387 | KAISER PERMANENTE (01) | MD |
| 25221 | JOHNS HOPKINS EHP (01) | MD |
| 25933 | MAMSI LIFE & HEALTH (01) | MD |
| 25933 | MDIPA (01) | MD |
| 25933 | ONENETPPO (01) | MD |
| 25933 | OPTIMUM CHOICE (01) | MD |
| 401629-01 | CAREFIRST BCBS (01) | MD |
| 4133322 | AETNA (01) | MD |
| 452330 | AETNA HMO (01) | MD |
| 76334 | FIRST HEALTH (01) | MD |
| E15212 | (02) | |
| E658 | CAREFIRST BLUECHOICE (01) | DC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.