Healthcare Provider Details

I. General information

NPI: 1245091479
Provider Name (Legal Business Name): ARMAN C. MOSHYEDI, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2024
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7945 MACARTHUR BLVD STE 208
CABIN JOHN MD
20818-1634
US

IV. Provider business mailing address

PO BOX 25172
BELFAST ME
04915-2002
US

V. Phone/Fax

Practice location:
  • Phone: 855-940-4867
  • Fax: 855-721-4867
Mailing address:
  • Phone: 855-940-4867
  • Fax: 855-721-4867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARMAN MOSHYEDI
Title or Position: OWNER
Credential:
Phone: 855-711-4867