Healthcare Provider Details

I. General information

NPI: 1811331085
Provider Name (Legal Business Name): NAVID MOKHTARI AMIRMAJDI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 OSLER DR
TOWSON MD
21204-7700
US

IV. Provider business mailing address

5253 MONROE DR
SPRINGFIELD VA
22151-3740
US

V. Phone/Fax

Practice location:
  • Phone: 410-337-1000
  • Fax:
Mailing address:
  • Phone: 318-564-8657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberD0105311
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: