Shamsuzzoha, Khondker M
Shamsuzzoha, Khondker M is an individual health care provider with primary practice located at 196 Thomas Johnson Dr Suite # 215, Frederick MD 21702-4397. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shamsuzzoha, Khondker M can be contacted via phone (301) 668-9988.Contact Information
Primary practice address
196 Thomas Johnson Dr Suite # 215
Frederick MD 21702-4397
Phone: (301) 668-9988
Fax: (301) 668-9977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D 0057162 | Maryland |
Profile Details
| NPI number | 1386795573 |
|---|---|
| LBN Legal business name | Shamsuzzoha, Khondker M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Sep 27th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386795573 | NPPES |
| Other | 050085552 | MEDICARE RAILROAD | |
| MEDICAID | 754401400 | MEDICARE RAILROAD |
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