KHODADAD MODJTABAI

COLUMBIA, MD
NPI1578567913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: MD  DOO61559)
Enumeration Date2005-06-13
Last Update Date2012-10-23
Business Address
Dr. KHODADAD MODJTABAI M.D.
10802 HICKORY RIDGE RD
COLUMBIA, MD 21044-3622
Phone number: 301-997-1336
Mailing Address
Dr. KHODADAD MODJTABAI M.D.
9784 OLD ANNAPOLIS RD
ELLICOTT CITY, MD 21042-6327
Phone number: 410-997-1336
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