Provider Demographics
NPI:1699914861
Name:SHOMALI, HENGAMEH T (LAC, ND)
Entity type:Individual
Prefix:MRS
First Name:HENGAMEH
Middle Name:T
Last Name:SHOMALI
Suffix:
Gender:F
Credentials:LAC, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9419 CORSICA DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2813
Mailing Address - Country:US
Mailing Address - Phone:240-643-9909
Mailing Address - Fax:
Practice Address - Street 1:15001 SHADY GROVE RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6352
Practice Address - Country:US
Practice Address - Phone:301-610-7755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01311171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist