Provider Demographics
NPI:1245427756
Name:SAMAN F GHAHREMANI MDPC
Entity Type:Organization
Organization Name:SAMAN F GHAHREMANI MDPC
Other - Org Name:MARYLAND EYE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ALEJANDRA
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-847-7371
Mailing Address - Street 1:831 UNIVERSITY BLVD E STE 11
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2921
Mailing Address - Country:US
Mailing Address - Phone:301-431-0431
Mailing Address - Fax:301-431-0470
Practice Address - Street 1:831 UNIVERSITY BLVD E STE 11
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2921
Practice Address - Country:US
Practice Address - Phone:301-431-0431
Practice Address - Fax:301-431-0470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0050456207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty