Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Khodadad Modjtabai, MD

Individual provider Specialist · NPI 1578567913

Dr. Khodadad Modjtabai, MD is an Infectious Disease in Columbia, Maryland. Qualified in 1998, 28 years ago. Practices with Imran H Chowdhury MD PA, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
28
Licensed in
MD
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10802 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone: (301) 997-1336
Fax: (410) 997-1636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence DOO61559 (MD)

Record details

NPI number1578567913
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2005
Last updated in NPPESOctober 23, 2012
Mailing address9784 Old Annapolis Rd, Ellicott City, MD 21042-6327

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINFECTIOUS DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Imran H Chowdhury Md Pa — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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