Provider Demographics
NPI:1821365925
Name:KHANI, ARASH
Entity Type:Individual
Prefix:DR
First Name:ARASH
Middle Name:
Last Name:KHANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9581 TRANSFER ROW
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3928
Mailing Address - Country:US
Mailing Address - Phone:410-715-1725
Mailing Address - Fax:
Practice Address - Street 1:9581 TRANSFER ROW
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3928
Practice Address - Country:US
Practice Address - Phone:410-715-1725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20012183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist