Healthcare Provider Details
I. General information
NPI: 1750949442
Provider Name (Legal Business Name): ARMAN C. MOSHYEDI, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/29/2019
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3416 OLANDWOOD CT STE 201
OLNEY MD
20832-1373
US
IV. Provider business mailing address
890 YONGE STREET 7TH FLOOR
TORONTO ON
M4W3P4
CA
V. Phone/Fax
- Phone: 416-915-9100
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARMAN
C
MOSHYEDI
Title or Position: MEMBER
Credential: MD
Phone: 855-711-4867