Organization
HUMA SHAKIL, MD, PA
Active
Other names
INTERNIST MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAKIL M RAHMAN PH.D (BUSINESS MANAGER)
(301) 777-7300
Entity
Organization
Contact information
Practice address
625 KENT AVE STE 204, CUMBERLAND, MD 21502-3799
(301) 777-7300
(301) 777-4000
Mailing address
625 KENT AVE, SUITE 204, CUMBERLAND, MD 21502-3799
(301) 777-7300
(301) 777-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149631000
—
MD
01
—
236826
ALLIANCE
MD
01
—
53295001
BCBS
MD
01
—
836826
MDIPA
MD
01
—
FH56H
BCBS-NEW
MD
01
—
M672
BCBS-FED & BLUE CHOICE-NEW
MD
01
—
P11632
BCBS POS
MD
01
—
P18192
BCBS POS-NEW
MD
01
—
R9110001
FED BCSB & BLUE CHOICE
MD
Enumeration date
11/21/2007
Last updated
06/21/2018
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