Healthcare Provider Details

I. General information

NPI: 1982508214
Provider Name (Legal Business Name): ELHAM HEKMAT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 W DIAMOND AVE STE 400
GAITHERSBURG MD
20878-1469
US

IV. Provider business mailing address

11400 LUXMANOR RD
ROCKVILLE MD
20852-3626
US

V. Phone/Fax

Practice location:
  • Phone: 301-529-3404
  • Fax:
Mailing address:
  • Phone: 301-529-3404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number13009
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: