Healthcare Provider Details

I. General information

NPI: 1437104494
Provider Name (Legal Business Name): ALLERGY & ASTHMACARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 03/20/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 SOLAREX COURT SUITE 206
FREDERICK MD
21703
US

IV. Provider business mailing address

19328 ERIN TREE CT.
GAITHERSBURG MD
20879
US

V. Phone/Fax

Practice location:
  • Phone: 301-663-0006
  • Fax: 301-663-0688
Mailing address:
  • Phone: 240-271-0745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberD42194
License Number StateMD

VIII. Authorized Official

Name: DR. SHALLA H KHAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 240-271-0745