Healthcare Provider Details

I. General information

NPI: 1477732352
Provider Name (Legal Business Name): SAH MEDICAL CONSULTING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2007
Last Update Date: 03/20/2020
Certification Date: 03/20/2020
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 TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0057574
License Number StateMD

VIII. Authorized Official

Name: AHMED HESHMAT
Title or Position: OWNER
Credential: MD
Phone: 240-912-6025