| Doctor Name: | SETAREH VISTAMEHR |
| NPI Number: | 1699748590 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | D 0069332 |
| Business Practice Address: | 11119 Rockville Pike Suite 318 Rockville, MD - 208523143 |
| Business Phone Number: | 3015702020 |
| Business Fax Number: | 3015702021 |
| Mailing Address: | 5801 Nicholson Ln Apt 906, ROCKVILLE |
| State: | MD |
| Postal Code: | 208525724 |
| Phone Number: | 2039158434 |
| Fax Number: | 3015702020 |
| NPI Enumeration Date: | 02/10/2006 |
| NPI Last Update Date: | 12/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | D 0069332 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |