Provider Demographics
NPI:1609146455
Name:OPTIMAL MEDICAL CARE INC
Entity Type:Organization
Organization Name:OPTIMAL MEDICAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HOOMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AZMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-481-2369
Mailing Address - Street 1:11119 ROCKVILLE PIKE STE 316
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3143
Mailing Address - Country:US
Mailing Address - Phone:310-230-8989
Mailing Address - Fax:301-979-7007
Practice Address - Street 1:11119 ROCKVILLE PIKE STE 316
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3143
Practice Address - Country:US
Practice Address - Phone:301-230-8989
Practice Address - Fax:301-979-7007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0071076207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0071076OtherMARYLAND LICENSE NUMBER