Shahram Modarres is a Dentist in Rockville, Maryland. Shahram Modarres practices all healthcare services and medical treatments related to Dentist. The NPI Number for Shahram Modarres is 1730121468. The last update date is 2012-03-27.
Shahram Modarres's current location address is 5822 Hubbard Dr, Rockville, Maryland. You can contact this provider via phone number 3018169400 and fax number 3017709263. The mailing address for Shahram Modarres is 5822 Hubbard Dr, Rockville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shahram Modarres |
|---|---|
| Address | 5822 Hubbard Dr, Rockville, Maryland |
| Phone Number | 3018169400 |
| Fax Number | 3017709263 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1730121468 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2012-03-27 |
Provider Mailing Address Detail
| Address | 5822 Hubbard Dr |
|---|---|
| City | Rockville |
| State | Maryland (MD) |
| Post Code | 208524818 |
| Phone Number | 3018169400 |
| Fax Number | 3017709263 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 13188 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Shahram Modarres's 1730121468?
The Shahram Modarres's NPI (National Provider Identifier) Number is 1730121468. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Shahram Modarres's facilities are situated?
The facilities of Shahram Modarres are physically located at the following address: 5822 Hubbard Dr, Rockville, MD, 208524818.
What is Shahram Modarres's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shahram Modarres is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Shahram Modarres receive the assignment of its 1730121468 from the Centers for Medicare & Medicaid Services?
The Shahram Modarres was issued its 1730121468 by the Centers for Medicare & Medicaid Services on 2006-06-10.
As of what date were the Shahram Modarres's details last updated?
The information pertaining to the Shahram Modarres, including its address, specialty, and other details, was most recently updated on 2012-03-27.
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