Healthcare Provider Details

I. General information

NPI: 1912986035
Provider Name (Legal Business Name): KHALID HASSAN ASHAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 LARGO DR W STE 201
LARGO MD
20774-4884
US

IV. Provider business mailing address

9301 LARGO DR W STE 201
LARGO MD
20774-4884
US

V. Phone/Fax

Practice location:
  • Phone: 301-615-2522
  • Fax:
Mailing address:
  • Phone: 301-615-2522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberD0060339
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0060339
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: