Motamedi And Associates Internal Medicine,pc | |
17904 Georgia Ave Suite 304 Olney MD 20832-2239 | |
(301) 924-2790 | |
(301) 924-1631 |
Full Name | Motamedi And Associates Internal Medicine,pc |
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Speciality | Internal Medicine |
Location | 17904 Georgia Ave, Olney, Maryland |
Authorized Official Name and Position | Ata Motamedi (OWNER/PHYSICIAN) |
Authorized Official Contact | 3019242790 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Motamedi And Associates Internal Medicine,pc Po Box 309 Olney MD 20830-0309 Ph: (301) 824-2790 | Motamedi And Associates Internal Medicine,pc 17904 Georgia Ave Suite 304 Olney MD 20832-2239 Ph: (301) 924-2790 |
NPI Number | 1437219094 |
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Provider Enumeration Date | 12/12/2006 |
Last Update Date | 12/27/2012 |
Medicare PECOS PAC ID | 7911007653 |
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Medicare Enrollment ID | O20070711000348 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437219094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D063999 (Maryland) | Primary |
Provider Name | Ata Motamedi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013904606 PECOS PAC ID: 0042221723 Enrollment ID: I20070711000376 |
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