Provider Demographics
NPI:1730531831
Name:ASKARY, PAYAM
Entity type:Individual
Prefix:
First Name:PAYAM
Middle Name:
Last Name:ASKARY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CARROLL ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2206
Mailing Address - Country:US
Mailing Address - Phone:410-335-2323
Mailing Address - Fax:
Practice Address - Street 1:6 CARROLL ISLAND RD
Practice Address - Street 2:
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-2206
Practice Address - Country:US
Practice Address - Phone:410-335-2323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist