Motamedi, Ata
Motamedi, Ata is an individual health care provider with primary practice located at 17904 Georgia Ave Suite # 304, Olney MD 20832-2239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Motamedi, Ata can be contacted via phone (301) 924-2790.Contact Information
Primary practice address
17904 Georgia Ave Suite # 304
Olney MD 20832-2239
Phone: (301) 924-2790
Fax: (301) 924-1631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0063999 | Maryland |
Profile Details
| NPI number | 1013904606 |
|---|---|
| LBN Legal business name | Motamedi, Ata |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Dec 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013904606 | NPPES |
| Maryland | Other | P00307411 | RR MEDICARE |
| Maryland | Other | 132355 | RR MEDICARE |
| Maryland | Other | 1194549 | RR MEDICARE |
| Maryland | Other | 65112701 | RR MEDICARE |
| Maryland | MEDICAID | 409839100 | RR MEDICARE |
| Maryland | Other | 0033 | RR MEDICARE |
| Maryland | Other | 5901543 | RR MEDICARE |
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