NPI 1821370644 · live from the CMS NPI Registry
Allegeny Medical LLC
Internal Medicine in Hagerstown, MD. National Provider Identifier 1821370644, active.
NPI record
| NPI | 1821370644 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 324 East Antietam Str., Suite 305, Hagerstown, MD 21740 |
| Practice phone | 301-791-2510 |
| Mailing address | 324 East Antietam St., Suite 305, Hagerstown, MD 21740 |
| Enumerated | September 19, 2011 |
| Last updated | June 25, 2013 |
| Authorized official | Shahab Siddiqui, MD/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Clinic/Center, Primary Care | 261QP2300X | D0072433 (MD) |
| Long Term Care Hospital | 282E00000X | D0072433 (MD) |
| General Acute Care Hospital, Rural | 282NR1301X | D0072433 (MD) |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.