Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MD33876 | DC |
N | 208000000X | Pediatrician | MD33876 | DC |
N | 2080P0201X | Pediatric Allergist | MD33876 | DC |
NPI | 1417086687 |
---|---|
Provider Name | Shabnam Foroughi |
First Address | Rockville, MD 20850-7539 |
Second Address | Rockville, MD 20850-7539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 01/06/2009 |