Khan, Samala M

Khan, Samala M is an individual health care provider with primary practice located at 18310 Montgomery Village Ave Ste 140 , Gaithersburg MD 20879-3556. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Khan, Samala M can be contacted via phone (301) 869-4070.

Contact Information

Primary practice address
18310 Montgomery Village Ave Ste 140 Gaithersburg MD 20879-3556
Phone: (301) 869-4070
Fax: (301) 869-0397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TA2243 Maryland

Profile Details

NPI number 1235269853
LBN Legal business name Khan, Samala M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Sep 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235269853 NPPES
Maryland Other 2B2375 MEDICARE PTAN

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