Provider Demographics
NPI:1255523239
Name:ASHAR, BINITA SHAH (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:BINITA
Middle Name:SHAH
Last Name:ASHAR
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9200 CORPORATE BLVD
Mailing Address - Street 2:HFZ-410
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3229
Mailing Address - Country:US
Mailing Address - Phone:240-276-3622
Mailing Address - Fax:
Practice Address - Street 1:9200 CORPORATE BLVD
Practice Address - Street 2:HFZ-410
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3229
Practice Address - Country:US
Practice Address - Phone:240-276-3622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00053777208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery