Provider Demographics
NPI:1144329368
Name:ROCKVILLE ASTHMA AND ALLERGY
Entity type:Organization
Organization Name:ROCKVILLE ASTHMA AND ALLERGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUDHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SEKHSARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-843-2223
Mailing Address - Street 1:121 CONGRESSIONAL LN STE 321
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1542
Mailing Address - Country:US
Mailing Address - Phone:301-881-3171
Mailing Address - Fax:301-881-0844
Practice Address - Street 1:121 CONGRESSIONAL LN STE 321
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1542
Practice Address - Country:US
Practice Address - Phone:301-881-3171
Practice Address - Fax:301-881-0844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD38106261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP00014305Medicare PIN
MDE54698Medicare UPIN
MDD46292Medicare UPIN
MDG01740Medicare PIN
MDG01740A01Medicare PIN
MDDA4048Medicare PIN