Internal Medicine Practice, P.A. in Hagerstown - Primary Care
Internal Medicine Practice, P.A. - NPI 1336231950
Internal Medicine Practice, P.A. is a Primary Care in Hagerstown, Maryland. Internal Medicine Practice, P.A. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Internal Medicine Practice, P.A. is 1336231950. The last update date is 2012-02-06.
Internal Medicine Practice, P.A.'s current location address is 324 E Antietam St Ste 306, Hagerstown, Maryland. You can contact this provider via phone number 3017390240 and fax number 3017978546. The mailing address for Internal Medicine Practice, P.A. is 324 E Antietam St Ste 306, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Internal Medicine Practice, P.A. |
|---|---|
| Address | 324 E Antietam St Ste 306, Hagerstown, Maryland |
| Phone Number | 3017390240 |
| Fax Number | 3017978546 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Peprah Koduah |
| Credentials | M.D. |
| Telephone Number | 3019967900 |
NPI Number Detail
| NPI Number | 1336231950 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2012-02-06 |
Provider Mailing Address Detail
| Address | 324 E Antietam St Ste 306 |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 217405768 |
| Phone Number | 3017390240 |
| Fax Number | 3017978546 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 336619700 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Internal Medicine Practice, P.A. by the Centers for Medicare & Medicaid Services?
The Internal Medicine Practice, P.A. has been assigned the NPI (National Provider Identifier) 1336231950 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Internal Medicine Practice, P.A.'s facilities are situated?
The facilities of Internal Medicine Practice, P.A. are physically located at the following address: 324 E Antietam St Ste 306, Hagerstown, MD, 217405768.
What is Internal Medicine Practice, P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Internal Medicine Practice, P.A. is Primary Care, and the taxonomy classification code that categorizes this area of expertise is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336231950 to Internal Medicine Practice, P.A.?
The Internal Medicine Practice, P.A. received its 1336231950 assignment from the Centers for Medicare & Medicaid Services on 2006-09-29.
When was the information regarding Internal Medicine Practice, P.A. most recently updated?
The details pertaining to the Internal Medicine Practice, P.A., including its address, specialty, and other relevant information, were last refreshed on 2012-02-06.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA