Provider Demographics
NPI:1689834715
Name:BEIRAGHDAR, MOHAMMAD H (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:H
Last Name:BEIRAGHDAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 DALE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4101
Mailing Address - Country:US
Mailing Address - Phone:301-254-8118
Mailing Address - Fax:
Practice Address - Street 1:9200 COLESVILLE RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1656
Practice Address - Country:US
Practice Address - Phone:301-437-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00691342084N0400X
VA01012456662084N0400X
DC0380362084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology