Provider Demographics
NPI:1225011851
Name:POTOMAC ALLERGY & ASTHMA P.C.
Entity Type:Organization
Organization Name:POTOMAC ALLERGY & ASTHMA P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SABA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-893-0083
Mailing Address - Street 1:9015 WOODYARD RD
Mailing Address - Street 2:SUITE 209A
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4209
Mailing Address - Country:US
Mailing Address - Phone:301-868-9313
Mailing Address - Fax:301-868-0026
Practice Address - Street 1:9135 PISCATAWAY RD
Practice Address - Street 2:SUITE 215
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2549
Practice Address - Country:US
Practice Address - Phone:301-868-9313
Practice Address - Fax:301-868-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7852OtherBLUE CROSS
7852OtherBLUE CROSS
001703G49Medicare PIN
VA=========OtherEIN
116724Medicare PIN
MD017MMedicare PIN
B93473Medicare UPIN