Healthcare Provider Details

I. General information

NPI: 1245427756
Provider Name (Legal Business Name): SAMAN F GHAHREMANI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2007
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 NEW HAMPSHIRE AVE STE 20
HYATTSVILLE MD
20783-4686
US

IV. Provider business mailing address

2045 UNIVERSITY BLVD E STE 100
HYATTSVILLE MD
20783-4153
US

V. Phone/Fax

Practice location:
  • Phone: 301-431-0431
  • Fax: 301-431-0470
Mailing address:
  • Phone: 301-431-0431
  • Fax: 301-431-0470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberD0050456
License Number StateMD

VIII. Authorized Official

Name: SAMAN F GHAHREMANI
Title or Position: OWNER
Credential: MD
Phone: 301-431-0431