Provider Demographics
NPI:1437104494
Name:ALLERGY & ASTHMACARE INC.
Entity Type:Organization
Organization Name:ALLERGY & ASTHMACARE INC.
Other - Org Name:SHALLA H KHAN, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-527-9464
Mailing Address - Street 1:849 QUINCE ORCHARD BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1678
Mailing Address - Country:US
Mailing Address - Phone:301-527-9464
Mailing Address - Fax:
Practice Address - Street 1:849 QUINCE ORCHARD BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1678
Practice Address - Country:US
Practice Address - Phone:301-527-9464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD42194207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD148651900Medicaid
MD148651900Medicaid
MDG01670Medicare PIN
MDF40435Medicare UPIN