Provider Demographics
NPI:1770561979
Name:ASHKER, KHEDER (MD)
Entity type:Individual
Prefix:
First Name:KHEDER
Middle Name:
Last Name:ASHKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 KENT AVE
Mailing Address - Street 2:STE. 306
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-3794
Mailing Address - Country:US
Mailing Address - Phone:301-724-7027
Mailing Address - Fax:301-723-4872
Practice Address - Street 1:625 KENT AVE
Practice Address - Street 2:STE. 306
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-3794
Practice Address - Country:US
Practice Address - Phone:301-724-7027
Practice Address - Fax:301-723-4872
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD26471207T00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD26471OtherLICENCE NUMBER
MDD26471OtherLICENCE NUMBER
MDD01315Medicare UPIN