Healthcare Provider Details

I. General information

NPI: 1285682757
Provider Name (Legal Business Name): ASHIMA SAINI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 01/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11340 PEMBROOKE SQ SUITE 201
WALDORF MD
20603-4808
US

IV. Provider business mailing address

PO BOX 631496
BALTIMORE MD
21263-1496
US

V. Phone/Fax

Practice location:
  • Phone: 301-705-5802
  • Fax: 301-843-1704
Mailing address:
  • Phone: 888-846-5527
  • Fax: 607-324-2369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0057667
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberD0057667
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: