| Asthma Allergy And Sinus Center, Llc | |
|
3600 Leonardtown Road Suite 103 Waldorf MD 20601 | |
| (301) 843-2223 | |
| (301) 705-9720 |
| Full Name | Asthma Allergy And Sinus Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3600 Leonardtown Road, Waldorf, Maryland |
| Authorized Official Name and Position | Sudhir Sekhsaria (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3018432223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asthma Allergy And Sinus Center, Llc 3600 Leonardtown Road Suite 103 Waldorf MD 20601 Ph: (301) 843-2223 | Asthma Allergy And Sinus Center, Llc 3600 Leonardtown Road Suite 103 Waldorf MD 20601 Ph: (301) 843-2223 |
| NPI Number | 1073610127 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 05/07/2020 |
| Medicare PECOS PAC ID | 2062406085 |
|---|---|
| Medicare Enrollment ID | O20040413000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073610127 | NPI | - | NPPES |
| 371M | Other | MD | MEDICARE |
| 357046100 | Medicaid | MD | |
| P00014305 | Other | MD | RAILROAD MEDICARE |
| DA4048 | Other | MD | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D38016 (Maryland) | Secondary |
| 261Q00000X | Clinic/center | D46292 (Maryland) | Primary |
| Provider Name | Sudhir Sekhsaria |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1568423606 PECOS PAC ID: 3779548649 Enrollment ID: I20110112000687 |
| Provider Name | Taryn R Richardson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1790703023 PECOS PAC ID: 4981602265 Enrollment ID: I20120329000400 |
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