Healthcare Provider Details

I. General information

NPI: 1184535775
Provider Name (Legal Business Name): CANCER AND BLOOD DISORDERS TREATMENT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3261 OLD WASHINGTON RD STE 1030
WALDORF MD
20602-3310
US

IV. Provider business mailing address

3261 OLD WASHINGTON RD STE 1030
WALDORF MD
20602-3310
US

V. Phone/Fax

Practice location:
  • Phone: 301-638-1007
  • Fax: 301-638-1009
Mailing address:
  • Phone: 301-638-1007
  • Fax: 301-638-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: M ASHRAF ASHRAF MEELU
Title or Position: OWNER
Credential: MD
Phone: 301-638-1007