Organization
DIABETES AND ENDOCRINOLOGY PA M SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMAD SUHAIL SMITH M.D. (PRESIDENT)
(410) 392-9026
Entity
Organization
Contact information
Practice address
303 LANDING LN, ELKTON, MD 21921-6613
(410) 392-9026
(410) 392-9024
Mailing address
303 LANDING LN, ELKTON, MD 21921-6613
(410) 392-9026
(410) 392-9024
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D0052227
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001001402
—
DE
01
—
0477461000
AMERIHEALTH PIN #
MD
01
—
350914
MAMSI LIFE & HEALTH PIN #
MD
01
—
710656
PERSONAL CHOICE PIN #
MD
01
—
E237
FEDERAL BCBS PIN #
MD
01
—
LL44DI
BCBS PIN #
MD
Enumeration date
06/30/2006
Last updated
08/22/2020
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