Provider Demographics
NPI:1689472755
Name:SAMAN F GHAHREMANI MD PC
Entity type:Organization
Organization Name:SAMAN F GHAHREMANI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:GHAHREMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-431-0431
Mailing Address - Street 1:2045 UNIVERSITY BLVD E STE 100
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4153
Mailing Address - Country:US
Mailing Address - Phone:240-847-7371
Mailing Address - Fax:
Practice Address - Street 1:8630 FENTON ST STE 130
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3803
Practice Address - Country:US
Practice Address - Phone:301-431-0431
Practice Address - Fax:301-431-0470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty