Organization
HAGERSTOWN PSYCHIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHNOOR KHAN MD (PRESIDENT)
(703) 400-3433
Entity
Organization
Contact information
Practice address
12821 OAK HILL AVE STE 3, HAGERSTOWN, MD 21742-2959
(240) 452-1623
(240) 597-6620
Mailing address
11123 COROBON LN, GREAT FALLS, VA 22066-1403
(304) 279-9772
(703) 763-2350
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0064888
STATE MEDICAL LICENSE
MD
Enumeration date
02/20/2019
Last updated
03/03/2020
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