Healthcare Provider Details

I. General information

NPI: 1336383835
Provider Name (Legal Business Name): LANHAM NEURO SCIENCE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2009
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9841 GREENBELT RD STE 206
LANHAM MD
20706-6270
US

IV. Provider business mailing address

9841 GREENBELT RD STE 206
LANHAM MD
20706-6270
US

V. Phone/Fax

Practice location:
  • Phone: 301-552-0008
  • Fax: 301-552-2066
Mailing address:
  • Phone: 301-552-0008
  • Fax: 301-552-2066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: SHIMELLIS ALEMAYEHU
Title or Position: OWNER
Credential: MD
Phone: 301-552-6666