Active NPI
Freedom Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Capitol Heights, MD
National Provider Identifier
1730215666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- R2563
- Legal business name
- FREEDOM MEDICAL SUPPLIES
- Practice address
- 9244 East Hampton Drive, Suite 110
Capitol Heights, MD 20743-3829 - Phone
- (301) 333-9000
- Fax
- (301) 333-3633
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rahat Jahan Khan, PH.D
- Title
- Owner
- Phone
- (301) 788-6962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | R2563 | MD | Primary |
Addresses
Primary practice location
9244 East Hampton Drive, Suite 110
Capitol Heights, MD 20743-3829
Mailing address
1005 Samplers Way
Potomac, MD 20854-2940
Phone (301) 788-6962
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231113600000",
"number": "1730215666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 SAMPLERS WAY",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208542940",
"telephone_number": "301-788-6962",
"fax_number": "301-333-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9244 EAST HAMPTON DRIVE, SUITE 110",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207433829",
"telephone_number": "301-333-9000",
"fax_number": "301-333-3633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM MEDICAL SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2009-01-05",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "RAHAT",
"authorized_official_middle_name": "JAHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-788-6962",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MD",
"license": "R2563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Joanne Frederick
- Fresenius Medical Care Fairmount Heights, LLC (Fresenius Kidney Care Fairmount Heights)
- Friendly Prep LLC (Spin Therapy)
- Bernard Fualefac
- Fundamental Therapy Solutions LLC
- Gladys Galvez de la Cruz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.