Mitra Ahadpour | Potomac, MD • PECOS Search

Mitra Ahadpour

Internal Medicine

Allopathic & Osteopathic Physicians

11421 Patriot Ln, Potomac, MD 20854-3749

PECOS Enrollment

Based on the most recent information from CMS, provider Mitra Ahadpour does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1336451517
Provider Type
Individual
Full Name
Ahadpour, Mitra
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/5/2010
Last Updated
7/5/2010

Contact Information

Practice Location

11421 Patriot Ln, Potomac, MD 20854-3749

Unlisted Fax

Mailing Location

11421 Patriot Ln, Potomac, MD 20854-3749

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 52-2196053 Maryland