Provider Demographics
NPI:1285682757
Name:SAINI, ASHIMA (MD)
Entity Type:Individual
Prefix:
First Name:ASHIMA
Middle Name:
Last Name:SAINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 631496
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21263-1496
Mailing Address - Country:US
Mailing Address - Phone:888-846-5527
Mailing Address - Fax:607-324-2369
Practice Address - Street 1:11340 PEMBROOKE SQ
Practice Address - Street 2:SUITE 201
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4808
Practice Address - Country:US
Practice Address - Phone:301-705-5802
Practice Address - Fax:301-843-1704
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2017-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00576672085R0001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD723558OtherNATIONAL CAPITOL PPO
MD8497951OtherCIGNA
DC29020017OtherCAREFIRST BC/BS
MD414950500Medicaid
MD43946OtherMAMSI
MD60332704OtherCAREFIRST BC/BS
MD00001329093 08OtherUNITED HEALTHCARE
MD4308857OtherAETNA PPO
MD1142829OtherAETNA HMO
MD60332704OtherCAREFIRST BC/BS
MD4308857OtherAETNA PPO