# ARK VISIONARY HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346991882
- **Authorized official:** SALMA KHAN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (866) 282-5040

## Contact information

- **Practice address:** 5900 PRINCESS GARDEN PKWY, LANHAM, MD 20706-2925
- **Practice address phone:** (240) 883-2660
- **Mailing address:** 6902 STORCH CIR, LANHAM, MD 20706-2177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2022
- **Last updated:** 01/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 123456789 | STATE LICENSEE | MD |
