Individual
DR. ANTHONY D SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6104 OLD BRANCH AVENUE, TEMPLE HILLS, MD 20748-2518
(301) 702-6100
(301) 702-6367
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101225351
VA
207Q00000X
Family Medicine Physician
Primary
D0055663
MD
207Q00000X
Family Medicine Physician
MD32242
DC
Other
Enumeration date
01/02/2007
Last updated
11/19/2021
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