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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMIR HOSSAIN KHODABANDELOU

Active Sole Proprietor

Physician Assistant · SEVERNA PARK, MD

Registration Details

NPI Number
1144547829
Provider Type
Individual
Gender
Male
NPI Issued
Apr 21, 2010 (16.001244776853 yrs)
Last Updated
Jul 10, 2024
Licenses
C0003440 (MD)
C03440 (MD)
Sole Proprietor
Yes

Practice Information

Address
6 SAINT ANDREWS CROSSOVER
SEVERNA PARK, MD, 211462403
Browse MD providers · Browse ZIP 21146
Phone
4435242737
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SEVERNA PARK, MD

Name Credential NPI
MRS. VALLERI D. WEYANT PA 1497846570
JOHN P YINGLING P.A.C. 1689749137
JOAN M WATT PA-C 1902233224
GARRETT CLITES PA-C 1144756370
JAY YOUNG AN 1932675675
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.