MEDICARE: KEKULE ASGARI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	MD201266RST	MD

General Provider Information

NPI Number	:	1568927911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEKULE ASGARI

Provider Business Mailing Address
First Line	:	11404 CHANNING DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-2906
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11404 CHANNING DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-2906
Country	:	US
Telephone Number	:	301-232-4297
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2019
Last Update Date	:	05/11/2026

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Directions to “ KEKULE ASGARI ” Practice Location

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