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ROSTAM NASSIRI MD PC NPI 1871775361


NPI Information

NPI: 1871775361
Provider Name: ROSTAM NASSIRI, MD, PC

Doing Business As: ULTIMA MEDICAL & AESTHETICS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
19735 GERMANTOWN RD
SUITE 280
GERMANTOWN, MD
ZIP 20874
Phone: (240) 686-1122
Get Directions

ROSTAM NASSIRI, MD, PC is a family medicine in Germantown, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ROSTAM NASSIRI, MD, PC NPI is 1871775361. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ultima Medical & Aesthetics.

The provider's business location address is:

19735 GERMANTOWN RD
SUITE 280
GERMANTOWN, MD
ZIP 20874-214
Phone: (240) 686-1122
Fax: (240) 686-1124

The provider's authorized official is Rostam Nassiri .
The authorized official title is President and has the following contact phone number (240) 686-1122.

The enumeration date for this NPI number is 11/27/2007 and was last updated on 11/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineD0061989MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G02255R01MEDICARE PINDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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