Healthcare Provider Details

I. General information

NPI: 1437522067
Provider Name (Legal Business Name): ARMAN C. MOSHYEDI, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8850 STANFORD BLVD STE 3300
COLUMBIA MD
21045-4796
US

IV. Provider business mailing address

PO BOX 950610
SAINT LOUIS MO
63195-0610
US

V. Phone/Fax

Practice location:
  • Phone: 855-940-4867
  • Fax: 855-721-4867
Mailing address:
  • Phone: 855-711-4867
  • Fax: 641-800-3145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA WILLET
Title or Position: DIRECTOR OF MANAGED CARE
Credential:
Phone: 855-711-4867