# FARHAD NASEH MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maryland Eye Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245254630
- **Authorized official:** MR. FARHAD NASEH MD (OWNER PHYSICIAN)
- **Authorized official phone:** (301) 840-2208

## Contact information

- **Practice address:** 6 MONTGOMERY VILLAGE AVE STE 103, GAITHERSBURG, MD 20879-3530
- **Practice address phone:** (301) 840-2208
- **Practice address fax:** (301) 840-2210
- **Mailing address:** 6 MONTGOMERY VILLAGE AVE STE 103, GAITHERSBURG, MD 20879-3530
- **Mailing address phone:** (301) 840-2208
- **Mailing address fax:** (301) 840-2210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D0050523 | MD | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 02/08/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 400768900 | — | MD |
| 01 | — | G02199F01 | MEDICARE INDVIDUAL \# | MD |