Moghadam, Faranak E.
Moghadam, Faranak E. is an individual health care provider with primary practice located at 3357B Corridor Marketplace , Laurel MD 20724-2381. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moghadam, Faranak E. can be contacted via phone (301) 497-1820.Contact Information
Primary practice address
3357B Corridor Marketplace
Laurel MD 20724-2381
Phone: (301) 497-1820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101269960 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0053640 | Maryland |
Profile Details
| NPI number | 1770548893 |
|---|---|
| LBN Legal business name | Moghadam, Faranak E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Nov 11th, 2021 - about 3 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 | 1770548893 | NPPES |
| Maryland | Other | 080171343 | RAILROAD MEDICARE |
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