Individual
MELSJAN SHKULLAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
129 LUBRANO DR STE 301, ANNAPOLIS, MD 21401-7568
(443) 607-2299
(443) 782-3488
Mailing address
129 LUBRANO DR STE 301, ANNAPOLIS, MD 21401-7568
(443) 607-2299
(443) 782-3488
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
D78055
MD
208M00000X
Hospitalist Physician
D78055
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422807300
—
MD
01
—
S062-0546
CAREFIRST BC/BS
MD
Enumeration date
03/27/2011
Last updated
04/29/2024
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