MEDICARE: PEDRAM MOTAMEDI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0105X	Surgery of the Hand (Surgery) Physician	MD486092	PA

General Provider Information

NPI Number	:	1225692676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEDRAM MOTAMEDI MD

Provider Business Mailing Address
First Line	:	300 STATE ST STE 205
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16507-1429
Country	:	US
Telephone Number	:	814-456-6022
Fax Number	:	814-455-4731

Provider Business Practice Location Address
First Line	:	300 STATE ST STE 205
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16507-1429
Country	:	US
Telephone Number	:	814-456-6022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2019
Last Update Date	:	01/16/2026

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Directions to “ PEDRAM MOTAMEDI MD” Practice Location

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