Rostam Nassiri, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0061989 Issued in MD

Legal business name

ROSTAM NASSIRI, MD, PC

Practice address

19735 Germantown Rd
Suite 280
Germantown, MD 20874-1214

Phone

(240) 686-1122

Fax

(240) 686-1124

NPI assigned

Nov 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rostam Nassiri, MD

Title

President

Phone

(240) 686-1122

Specialties & licenses 1

Addresses

Other names 1

• Ultima Medical & Aesthetics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1871775361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN RD",
            "address_2": "SUITE 280",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741214",
            "telephone_number": "240-686-1122",
            "fax_number": "240-686-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN RD",
            "address_2": "SUITE 280",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741214",
            "telephone_number": "240-686-1122",
            "fax_number": "240-686-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSTAM NASSIRI, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "NASSIRI",
        "authorized_official_first_name": "ROSTAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-686-1122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0061989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultima Medical & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Rosenberg
• Patricia Paines Rosenberg, M.S. CCC-SLP
• Holly Erin Rosensweig, M.A. CCC-SLP
• Katherine Ross-Keller, M.S., OTR/L
• Sarah Ross, MSW, M.ED, LICSW
• Sarah Ruben
• Margaret Mary Rubino, M.D.
• Joyce Rusch, PT
• Michael D Rushin
• Jasmine Russell

• Family Medicine Physician in Germantown, MD
• Providers in Germantown, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.