Provider Demographics
NPI:1912986035
Name:ASHAI, KHALID HASSAN (MD)
Entity Type:Individual
Prefix:
First Name:KHALID
Middle Name:HASSAN
Last Name:ASHAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7525 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE 313
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3509
Mailing Address - Country:US
Mailing Address - Phone:301-345-4100
Mailing Address - Fax:301-345-1375
Practice Address - Street 1:7525 GREENWAY CENTER DR
Practice Address - Street 2:SUITE 313
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3509
Practice Address - Country:US
Practice Address - Phone:301-345-4100
Practice Address - Fax:301-345-1375
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060339207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD402330700Medicaid
MDG21621Medicare UPIN
MD402330700Medicaid