DR. Khodadad Modjtabai, M.D.

NPI #1578567913 in Columbia, Maryland

Provider Information

NPI Number: 1578567913
Entity Type: Individual
Name: DR. Khodadad Modjtabai, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Jun 13, 2005
Last Updated: Oct 23, 2012

Practice Location

Address: 10802 HICKORY RIDGE RD
City: Columbia
State: Maryland
ZIP Code: 21044-3622
Phone: (301) 997-1336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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