| Antietam Geriatric & Internal Medicine Center | |
|
368 Mill St Hagerstown MD 21740-6138 | |
| (301) 739-4510 | |
| (301) 739-0140 |
| Full Name | Antietam Geriatric & Internal Medicine Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 368 Mill St, Hagerstown, Maryland |
| Authorized Official Name and Position | Manzar J Shafi (PRESIDENT) |
| Authorized Official Contact | 3017394510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antietam Geriatric & Internal Medicine Center 368 Mill St Hagerstown MD 21740-6138 Ph: (301) 739-4510 | Antietam Geriatric & Internal Medicine Center 368 Mill St Hagerstown MD 21740-6138 Ph: (301) 739-4510 |
| NPI Number | 1508984113 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8921052895 |
|---|---|
| Medicare Enrollment ID | O20050303000916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508984113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D28365 (Maryland) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | D0062327 (Maryland) | Primary |
| Provider Name | Shannon P Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528089323 PECOS PAC ID: 8224107420 Enrollment ID: I20080514000214 |
| Provider Name | Manzar J Shafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689655367 PECOS PAC ID: 2466406335 Enrollment ID: I20101011001148 |
Blossom Integrated Health And Behavioral Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 Mill St, Hagerstown, MD 21740 Phone: 240-347-4494 | |
Dr Francisco L. Andrade Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Mill St, Hagerstown, MD 21740 Phone: 301-739-6620 Fax: 301-739-6628 | |
Massoud B. Alizadeh M.d.,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Frederick St, Hagerstown, MD 21740 Phone: 301-739-8049 Fax: 301-733-3287 | |
Complete Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Elgin Blvd, Suite 201, Hagerstown, MD 21740 Phone: 240-382-3554 Fax: 301-498-1439 | |
Nms Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14014 Marsh Pike, Hagerstown, MD 21742 Phone: 301-733-8700 | |
Mdics Rehabilitative Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Dual Hwy, Hagerstown, MD 21740 Phone: 301-797-4020 | |
Meritus Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17301 Valley Mall Rd Ste 125, Hagerstown, MD 21740 Phone: 301-790-9239 |