# RAMLETH TA SHAKIR MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619147709
- **Authorized official:** DR. RAMLETH SHAKIR M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (301) 258-7636

## Contact information

- **Practice address:** 9019 SHADY GROVE CT, GAITHERSBURG, MD 20877-1301
- **Practice address phone:** (301) 258-7636
- **Practice address fax:** (301) 990-9658
- **Mailing address:** 9019 SHADY GROVE CT, GAITHERSBURG, MD 20877-1301
- **Mailing address phone:** (301) 258-7636
- **Mailing address fax:** (301) 990-9658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0027830 | MD | Yes |

## Other

- **Enumeration date:** 03/05/2008
- **Last updated:** 06/18/2008