Provider Demographics
NPI:1649812785
Name:A PLUS PEDIATRICS LLC
Entity type:Organization
Organization Name:A PLUS PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAJOEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-204-7496
Mailing Address - Street 1:15221 GRAVENSTEIN WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4701
Mailing Address - Country:US
Mailing Address - Phone:347-204-7496
Mailing Address - Fax:
Practice Address - Street 1:845 QUINCE ORCHARD BLVD STE B
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1676
Practice Address - Country:US
Practice Address - Phone:301-977-2440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty