MEDICARE: DR. AHMED ESSAM HEFUNA M.D.

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	2084P0800X	Psychiatry Physician	D0066576	MD
2	2084P0800X	Psychiatry Physician	D66576	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760665897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHMED ESSAM HEFUNA M.D.

Provider Business Mailing Address
First Line	:	7945 MACARTHUR BLVD STE 208
Second Line	:
City	:	CABIN JOHN
State	:	MD
Zip	:	20818-1634
Country	:	US
Telephone Number	:	240-281-7696
Fax Number	:	240-858-4050

Provider Business Practice Location Address
First Line	:	7945 MACARTHUR BLVD STE 210A
Second Line	:
City	:	CABIN JOHN
State	:	MD
Zip	:	20818-1634
Country	:	US
Telephone Number	:	240-281-7696
Fax Number	:	240-858-4050

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

Provider Enumeration Date	:	12/12/2007
Last Update Date	:	12/23/2025

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