Stewart, Thulani

Stewart, Thulani is an individual health care provider with primary practice located at 11110 Medical Campus Rd Suite 249, Hagerstown MD 21742-6700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Stewart, Thulani can be contacted via phone (301) 714-4100.

Contact Information

Primary practice address
11110 Medical Campus Rd Suite 249 Hagerstown MD 21742-6700
Phone: (301) 714-4100
Fax: (301) 714-4101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 45668 Tennessee
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0076668 Maryland

Profile Details

NPI number 1710927256
LBN Legal business name Stewart, Thulani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 3rd, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710927256 NPPES
Maryland MEDICAID 070690600
Maryland MEDICAID 009937223
Maryland Other 515-34525

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