Individual
SAMUEL CHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11300 ROCKVILLE PIKE STE 1202, ROCKVILLE, MD 20852-3040
(301) 896-0890
(301) 896-0968
Mailing address
2630 CAMERON WAY, FREDERICK, MD 21701-3049
(301) 896-0890
(301) 896-0968
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002819
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT002819
GEORGIA MEDICAL LICENSE
GA
01
—
TA2581
MD OPTOMETRY LICENSE
MD
Enumeration date
06/26/2014
Last updated
07/11/2023
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