Individual
DR. SAMI K GHANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
612 MAIN ST, LAUREL, MD 20707-4008
(301) 725-0607
(301) 725-0294
Mailing address
612 MAIN ST, LAUREL, MD 20707-4008
(301) 725-0607
(301) 725-0294
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001157
VA
152W00000X
Optometrist
Primary
TA1759
MD
Other
Enumeration date
08/31/2006
Last updated
02/04/2025
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