Esmaili, Mohammad Reza

Esmaili, Mohammad Reza is an individual health care provider with primary practice located at 10901 Connecticut Ave Suite 200, Kensington MD 20895-1645. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Esmaili, Mohammad Reza can be contacted via phone (301) 949-2000.

Contact Information

Primary practice address
10901 Connecticut Ave Suite 200 Kensington MD 20895-1645
Phone: (301) 949-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 01524 Maryland

Profile Details

NPI number 1780942318
LBN Legal business name Esmaili, Mohammad Reza
Credentials DPM, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2012
Last updated Nov 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780942318 NPPES
Maryland MEDICAID 058747800

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