Provider Demographics
NPI:1326092958
Name:GHAHREMANI, SAMAN F (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMAN
Middle Name:F
Last Name:GHAHREMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:831 UNIVERSITY BLVD E
Mailing Address - Street 2:SUITE 11
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2916
Mailing Address - Country:US
Mailing Address - Phone:301-431-0431
Mailing Address - Fax:301-431-0470
Practice Address - Street 1:831 UNIVERSITY BLVD E
Practice Address - Street 2:SUITE 11
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2916
Practice Address - Country:US
Practice Address - Phone:301-431-0431
Practice Address - Fax:301-431-0470
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0050456207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD6325050Medicaid
MDG35199Medicare UPIN
G01906S01Medicare ID - Type Unspecified