Provider Demographics
NPI:1013221449
Name:TABRIZIAN, ATOUSA MAMHMOUDZADEH
Entity Type:Individual
Prefix:
First Name:ATOUSA
Middle Name:MAMHMOUDZADEH
Last Name:TABRIZIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 CLARENDON RD
Mailing Address - Street 2:#4
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5528
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7101 CLARENDON RD
Practice Address - Street 2:#4
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-5528
Practice Address - Country:US
Practice Address - Phone:240-395-1324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0071218207R00000X
DCMD040120208M00000X
VA0101265511207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist