Antietam Neurology Center, Pa

LBN: Antietam Neurology Center, Pa
Antietam Neurology Center, Pa is an health care organization with primary practice located at 11110 Medical Campus Rd Ste 227 , Hagerstown MD 21742-6727. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Antietam Neurology Center, Pa can be contacted via phone (301) 797-1900, or through Khan, Mehrullah via phone (301) 797-1900.

Contact Information

Primary practice address
11110 Medical Campus Rd Ste 227 Hagerstown MD 21742-6727
Phone: (301) 797-1900
Fax: (301) 797-2238
Website:
Map and Directions
Authorized official contact:
Name: Khan, Mehrullah Doctor of Medicine (MD)
Phone: (301) 797-1900

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0022136 Maryland

Profile Details

NPI number 1093860553
LBN Legal business name Antietam Neurology Center, Pa
DBA Doing business as
Authorized official Khan, Mehrullah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Apr 27th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093860553 NPPES
Maryland MEDICAID 4237013 00

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