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

Vida Falahatian

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104386200

Vida Falahatian is a Preventive Medicine in Germantown, Maryland. Qualified in 2006, 20 years ago. Practices with Patient First Maryland Medical Group PLLC, a 255-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
20
Licensed in
MD
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

21044 Frederick Rd
Germantown, MD 20876-4132
Phone: (240) 238-5432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1611 Nw 12th Ave, Miami, FL 33136-1005 — (305) 585-1111
  • 390 Birch Street, Morgantown, WV 26506 — (304) 293-3693

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X · Licence D0095473 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104386200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2019
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023
Mailing address390 Birch Street, Morgantown, WV 26506

Medicare enrollment

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

Medicare specialtyPREVENTIVE MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Patient First Maryland Medical Group Pllc — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Germantown