| Drs Moshyedi & Mostaghim Md Pa | |
|
7305 Hanover Pkwy Suite A Greenbelt MD 20770-2030 | |
| (301) 982-7900 | |
| (301) 982-4465 |
| Full Name | Drs Moshyedi & Mostaghim Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7305 Hanover Pkwy, Greenbelt, Maryland |
| Authorized Official Name and Position | Radman Mostaghim (OWNER) |
| Authorized Official Contact | 3019827900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Moshyedi & Mostaghim Md Pa 7305 Hanover Pkwy Suite A Greenbelt MD 20770-2030 Ph: (301) 982-7900 | Drs Moshyedi & Mostaghim Md Pa 7305 Hanover Pkwy Suite A Greenbelt MD 20770-2030 Ph: (301) 982-7900 |
| NPI Number | 1942526561 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 02/05/2013 |
| Medicare PECOS PAC ID | 2769507979 |
|---|---|
| Medicare Enrollment ID | O20100911000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942526561 | NPI | - | NPPES |
| 185840 | Other | DC | DC MEDICARE GROUP PTAN |
| 1942526561 | Other | DC | DC MEDICARE GROUP NPI# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | D0046093 (Maryland) | Primary |
| Provider Name | Enrico A Giangeruso |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568560134 PECOS PAC ID: 8527005180 Enrollment ID: I20050414000793 |
| Provider Name | Radman Mostaghim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720022023 PECOS PAC ID: 2365346087 Enrollment ID: I20100911000065 |
| Provider Name | Sushil Rattan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467427120 PECOS PAC ID: 9234033598 Enrollment ID: I20101004000306 |
| Provider Name | Anandita A Datta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922030477 PECOS PAC ID: 2466648555 Enrollment ID: I20130102000012 |
| Provider Name | Thais Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952761108 PECOS PAC ID: 8224320577 Enrollment ID: I20160707001597 |
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