Organization · NPI-2

Asthma Allergy And Sinus Center, LLC

Clinic/Center · Waldorf, MD

NPI number1073610127
StatusActive
Last updated in NPPESMay 7, 2020

Details

NPI
1073610127
Entity type
Organization (NPI-2)
Legal business name
Asthma Allergy And Sinus Center, LLC
Organization subpart
No
Enumeration date
Sep 20, 2006
Certification date
May 7, 2020
Last updated
May 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterD46292MDYes
261Q00000X Clinic/CenterD38016MD

Practice location

3600 Leonardtown Road
Suite 103
Waldorf, MD 20601

Phone 301-843-2223 · Fax 301-705-9720

Mailing address

3600 Leonardtown Road
Suite 103
Waldorf, MD 20601

Phone 301-843-2223 · Fax 301-705-9720

Authorized official

Sudhir Sekhsaria
Owner/Physician
3018432223

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