Provider Demographics
NPI:1477732352
Name:SAH MEDICAL CONSULTING INC
Entity type:Organization
Organization Name:SAH MEDICAL CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:HESHMAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-912-6025
Mailing Address - Street 1:2401 RESEARCH BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3246
Mailing Address - Country:US
Mailing Address - Phone:240-912-6025
Mailing Address - Fax:240-912-6130
Practice Address - Street 1:2401 RESEARCH BLVD STE 200
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3246
Practice Address - Country:US
Practice Address - Phone:240-912-6025
Practice Address - Fax:240-912-6130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0057574207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD584LJ770OtherMEDICARE