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:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 MERCANTILE LN STE 217
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5388
Mailing Address - Country:US
Mailing Address - Phone:301-615-2522
Mailing Address - Fax:
Practice Address - Street 1:1450 MERCANTILE LN STE 217
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5388
Practice Address - Country:US
Practice Address - Phone:301-615-2522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2025-12-04
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