Provider Demographics
NPI:1346260262
Name:ARMIN KARL MOSHYEDI MD
Entity Type:Organization
Organization Name:ARMIN KARL MOSHYEDI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSHYEDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-493-5200
Mailing Address - Street 1:10411 MOTOR CITY DR
Mailing Address - Street 2:SUITE 615
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1008
Mailing Address - Country:US
Mailing Address - Phone:301-493-5200
Mailing Address - Fax:301-493-2501
Practice Address - Street 1:10411 MOTOR CITY DR
Practice Address - Street 2:SUITE 615
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1008
Practice Address - Country:US
Practice Address - Phone:301-493-5200
Practice Address - Fax:301-493-2501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058300208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG01164Medicare PIN
MDH29300Medicare UPIN