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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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