# ALLEGENY MEDICAL LLC

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

## Provider details

- **NPI number:** 1821370644
- **Authorized official:** DR. SHAHAB Z. SIDDIQUI MD (MD/OWNER)
- **Authorized official phone:** (301) 791-2510

## Contact information

- **Practice address:** 324 EAST ANTIETAM STR., SUITE 305, HAGERSTOWN, MD 21740-5768
- **Practice address phone:** (301) 791-2510
- **Practice address fax:** (301) 739-7798
- **Mailing address:** 324 EAST ANTIETAM ST., SUITE 305, HAGERSTOWN, MD 21740-5768
- **Mailing address phone:** (301) 791-2510
- **Mailing address fax:** (301) 739-7798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | D0072433 | MD | — |
| 282E00000X | Long Term Care Hospital | D0072433 | MD | — |
| 282NR1301X | Rural Acute Care Hospital | D0072433 | MD | — |

## Other

- **Enumeration date:** 09/19/2011
- **Last updated:** 06/25/2013