Healthcare Provider Details

I. General information

NPI: 1346260262
Provider Name (Legal Business Name): ARMIN KARL MOSHYEDI MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 10/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10411 MOTOR CITY DR SUITE 615
BETHESDA MD
20817-1008
US

IV. Provider business mailing address

10411 MOTOR CITY DR SUITE 615
BETHESDA MD
20817-1008
US

V. Phone/Fax

Practice location:
  • Phone: 301-493-5200
  • Fax: 301-493-2501
Mailing address:
  • Phone: 301-493-5200
  • Fax: 301-493-2501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberD0058300
License Number StateMD

VIII. Authorized Official

Name: ARMIN MOSHYEDI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 301-493-5200