DR. KHODADAD MODJTABAI, M.D.

Specialist

Active Individual
NPI: 1578567913

Practice Address

10802 HICKORY RIDGE RD
Columbia, MD 21044

Phone: (301) 997-1336

Specialties

Specialty Code Primary License
Specialist 174400000X Yes DOO61559 (MD)

Frequently Asked Questions

NPI 1578567913 is the National Provider Identifier for DR. KHODADAD MODJTABAI, M.D., a Specialist provider located in Columbia, MD. This NPI was enumerated on June 13, 2005.
DR. KHODADAD MODJTABAI, M.D. practices at 10802 HICKORY RIDGE RD, Columbia, MD 21044.

Quick Facts

NPI
1578567913
Type
Individual
Enumerated
Jun 13, 2005
Last Updated
Oct 23, 2012

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