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General NPI Number Information
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NPI Number | 1326928250
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Entity Type | Individual
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Provider Name | KIANOUSH MOHAJERI DNP-FNP
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Gender | Female
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 14113 BALTIMORE AVE STE A
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City | LAUREL
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State | MD
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Zip | 20707-5073
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Country | US
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Telephone | 301-498-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 9305 CORPORATE BLVD APT 2348
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City | ROCKVILLE
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State | MD
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Zip | 20850-5537
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R240167
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License Number State | MD
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