Organization
RITA SHKULLAKU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITA J SHKULLAKU MD (SOLE OWNER)
(410) 897-9841
Entity
Organization
Contact information
Practice address
3179 BRAVERTON ST STE 202, EDGEWATER, MD 21037-2667
(410) 934-0650
Mailing address
718 PEGGY STEWART CT, DAVIDSONVILLE, MD 21035-1335
(410) 934-0650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0074339
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0074339
OWNER STATE LICENSE
MD
Enumeration date
06/08/2015
Last updated
04/21/2026
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