Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 12619 | MD |
Y | 213EG0000X | General Practice | 12619 | MD |
NPI | 1003948704 |
---|---|
Provider Name | Roghieh Atapour |
First Address | Columbia, MD 21046-1554 |
Second Address | Columbia, MD 21045-2156 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 17/02/2016 |