Organization
INTRAMED INFUSION CENTER PA
Active
Organization
INTRAMED INFUSION CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GITA K SHAM MD (PRESIDENT)
(301) 604-8000
Entity
Organization
Contact information
Practice address
7350 VAN DUSEN RD, SUITE 220, LAUREL, MD 20707-5268
(301) 604-8000
(301) 604-4406
Mailing address
7350 VAN DUSEN RD, SUITE 220, LAUREL, MD 20707-5268
(301) 604-8000
(301) 604-4406
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
AS9323522
MD
207RI0200X
Infectious Disease Physician
Primary
D20251
MD
207RI0200X
Infectious Disease Physician
M07210
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5031-0001
BC DC
MD
Enumeration date
10/19/2005
Last updated
08/22/2020
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