Provider Demographics
NPI:1073610127
Name:ASTHMA ALLERGY AND SINUS CENTER, LLC
Entity Type:Organization
Organization Name:ASTHMA ALLERGY AND SINUS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:MR
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 1:3600 LEONARDTOWN ROAD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601
Mailing Address - Country:US
Mailing Address - Phone:301-843-2223
Mailing Address - Fax:301-705-9720
Practice Address - Street 1:3600 LEONARDTOWN ROAD
Practice Address - Street 2:SUITE 103
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601
Practice Address - Country:US
Practice Address - Phone:301-843-2223
Practice Address - Fax:301-705-9720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD38016261Q00000X
MDD46292261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD371MOtherMEDICARE
MD357046100Medicaid
MDP00014305OtherRAILROAD MEDICARE
MDDA4048OtherRAILROAD MEDICARE
MD371MOtherMEDICARE
E54698Medicare UPIN
DCG01740A01Medicare PIN