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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235269853 | NPPES |
| Maryland | Other | 2B2375 | MEDICARE PTAN |
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