Healthcare Provider Details

I. General information

NPI: 1225011851
Provider Name (Legal Business Name): POTOMAC ALLERGY & ASTHMA P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9135 PISCATAWAY RD SUITE 215
CLINTON MD
20735-2549
US

IV. Provider business mailing address

9015 WOODYARD RD SUITE 209A
CLINTON MD
20735-4209
US

V. Phone/Fax

Practice location:
  • Phone: 301-868-9313
  • Fax: 301-868-0026
Mailing address:
  • Phone: 301-868-9313
  • Fax: 301-868-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SABA SAMEE
Title or Position: PRESIDENT
Credential: MD
Phone: 301-893-0083