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NPI Code Detail

MEDICARE: MS. LEILA SASANPOUR PHARMD

MEDICARE: MS. LEILA SASANPOUR PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist26502MD
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist26502MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689225922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LEILA SASANPOUR PHARMD
Provider Business Mailing Address
First Line : 11714 SMOKETREE RD
Second Line :
City : POTOMAC
State : MD
Zip : 20854-3465
Country : US
Telephone Number : 202-570-3369
Fax Number :
Provider Business Practice Location Address
First Line : 121 CONGRESSIONAL LN STE 101
Second Line :
City : ROCKVILLE
State : MD
Zip : 20852-1542
Country : US
Telephone Number : 240-833-3937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2019
Last Update Date : 03/24/2021

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