MEDICARE: ARMAN C. MOSHYEDI, MD, PLLC

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1477012813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARMAN C. MOSHYEDI, MD, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 950546
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-0546
Country	:	US
Telephone Number	:	855-711-4867
Fax Number	:	641-800-3145

Provider Business Practice Location Address
First Line	:	1500 SUNDAY DR STE 102
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-5151
Country	:	US
Telephone Number	:	855-940-4867
Fax Number	:	855-721-4867

Authorized Official
Title or Position	:	DIRECTOR OF MANAGED CARE
Name	:	PATRICIA WILLET
Credential	:
Telephone Number	:	855-711-4867

Provider Enumeration Date	:	03/15/2019
Last Update Date	:	05/26/2026

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