Modarres, Shahram
Modarres, Shahram is an sole proprietor health care provider with primary practice located at 5822 Hubbard Dr , Rockville MD 20852-4818. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Modarres, Shahram can be contacted via phone (301) 816-9400.Contact Information
Primary practice address
5822 Hubbard Dr
Rockville MD 20852-4818
Phone: (301) 816-9400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 13188 | Maryland |
Profile Details
| NPI number | 1730121468 |
|---|---|
| LBN Legal business name | Modarres, Shahram |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Mar 27th, 2012 - about 12 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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