Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | D0000378 | MD |
Y | 213ER0200X | Radiology | D0000378 | MD |
NPI | 1467781153 |
---|---|
Provider Name | Morteza Seyed Ahmadian |
First Address | Potomac, MD 20854-2947 |
Second Address | Potomac, MD 20854-2947 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2009 |
Last Update Date | 09/12/2009 |