Sasanpour, Leila

Sasanpour, Leila is an individual health care provider with primary practice located at 121 Congressional Ln Ste 101 , Rockville MD 20852-1542. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Sasanpour, Leila can be contacted via phone (240) 833-3937.

Contact Information

Primary practice address
121 Congressional Ln Ste 101 Rockville MD 20852-1542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26502 Maryland
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26502 Maryland

Profile Details

NPI number 1689225922
LBN Legal business name Sasanpour, Leila
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2019
Last updated Mar 24th, 2021 - 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 1689225922 NPPES
Maryland MEDICAID 655065700

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