Provider Demographics
NPI:1689652422
Name:MOSHYEDI, ARMIN KARL (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMIN
Middle Name:KARL
Last Name:MOSHYEDI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10411 MOTOR CITY DRIVE
Mailing Address - Street 2:SUITE 615
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1002
Mailing Address - Country:US
Mailing Address - Phone:301-493-5200
Mailing Address - Fax:301-493-2501
Practice Address - Street 1:10411 MOTOR CITY DRIVE
Practice Address - Street 2:SUITE 615
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1002
Practice Address - Country:US
Practice Address - Phone:301-493-5200
Practice Address - Fax:301-493-2501
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-03
Last Update Date:2015-08-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0058300208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG01164Medicare ID - Type Unspecified
MDH29300Medicare UPIN