Healthcare Provider Details

I. General information

NPI: 1356362263
Provider Name (Legal Business Name): AHMED HESHMAT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 RESEARCH BLVD STE 200
ROCKVILLE MD
20850-3246
US

IV. Provider business mailing address

2401 RESEARCH BLVD STE 200
ROCKVILLE MD
20850-3246
US

V. Phone/Fax

Practice location:
  • Phone: 240-912-6025
  • Fax: 240-912-6130
Mailing address:
  • Phone: 240-912-6025
  • Fax: 240-912-6130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0057574
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberD0057574
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: