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General NPI Number Information
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NPI Number | 1437104494
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMACARE, INC.
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 604 SOLAREX COURT SUITE 206
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City | FREDERICK
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State | MD
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Zip | 21703
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Country | US
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Telephone | 301-663-0006
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Fax | 301-663-0688
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Provider Business Mailing Address
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Address Line | 19328 ERIN TREE CT.
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City | GAITHERSBURG
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State | MD
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Zip | 20879
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Country | US
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Telephone | 240-271-0745
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHALLA H KHAN
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Credential | M.D.
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Telephone | 240-271-0745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | D42194
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License Number State | MD
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