Massumi, Mehrdad Michael
Massumi, Mehrdad Michael is an sole proprietor health care provider with primary practice located at 660 Kenilworth Dr Suite 200, Towson MD 21204-2313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Massumi, Mehrdad Michael can be contacted via phone (410) 825-5905.Contact Information
Primary practice address
660 Kenilworth Dr Suite 200
Towson MD 21204-2313
Phone: (410) 825-5905
Fax: (410) 825-7712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | D32831 | Maryland |
Profile Details
| NPI number | 1407894975 |
|---|---|
| LBN Legal business name | Massumi, Mehrdad Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407894975 | NPPES |
| Maryland | Other | 4133322 | AETNA |
| Maryland | Other | 25221 | AETNA |
| Maryland | Other | 25933 | AETNA |
| Maryland | Other | 25933 | AETNA |
| Maryland | Other | 25933 | AETNA |
| Maryland | Other | 452330 | AETNA |
| Maryland | Other | 25933 | AETNA |
| Maryland | Other | 401629-01 | AETNA |
| Maryland | Other | E658 | AETNA |
| Maryland | Other | 03818011 | AETNA |
| Maryland | Other | 233387 | AETNA |
| Maryland | Other | 76334 | AETNA |
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