Healthcare Provider Details

I. General information

NPI: 1760665897
Provider Name (Legal Business Name): AHMED ESSAM HEFUNA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2007
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7945 MACARTHUR BLVD STE 208
CABIN JOHN MD
20818-1634
US

IV. Provider business mailing address

7945 MACARTHUR BLVD STE 208
CABIN JOHN MD
20818-1634
US

V. Phone/Fax

Practice location:
  • Phone: 240-281-7696
  • Fax: 240-858-4050
Mailing address:
  • Phone: 402-281-7696
  • Fax: 240-858-4050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0066576
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD66576
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: