Organization
INTENSIVE PULMONOLOGY INC.
Active
Other names
INTELLIMED INC.
Organization subpart
No
Provider details
NPI number
Authorized official
NATESA SHANMUGAM M.D. (SOLE PROPRIETOR)
(202) 468-3303
Entity
Organization
Contact information
Practice address
7500 HANOVER PKWY STE 105B, GREENBELT, MD 20770-2091
(301) 593-8500
(301) 593-7547
Mailing address
12204 SELINE WAY, POTOMAC, MD 20854-2872
(202) 468-3303
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D0050412
MD
207RP1001X
Pulmonary Disease Physician
D0050412
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
746801600
—
MD
Enumeration date
06/29/2006
Last updated
12/29/2020
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