Provider Demographics
NPI:1164308169
Name:FAMILY ENT ALLERGY AND ASTHMA CENTER PC
Entity type:Organization
Organization Name:FAMILY ENT ALLERGY AND ASTHMA CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MD
Authorized Official - Prefix:
Authorized Official - First Name:VIBHAV
Authorized Official - Middle Name:
Authorized Official - Last Name:SEKHSARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-468-5922
Mailing Address - Street 1:806 W DIAMOND AVE STE 360
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1425
Mailing Address - Country:US
Mailing Address - Phone:301-468-5922
Mailing Address - Fax:
Practice Address - Street 1:6245 EXECUTIVE BLVD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3906
Practice Address - Country:US
Practice Address - Phone:301-468-5922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY ENT ALLERGY AND ASTHMA CENTER PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty