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ANTIETAM NEUROLOGY CENTER, PA
NPI 1093860553
Specialist in Hagerstown, MD

Active since January 24, 2007
11110 MEDICAL CAMPUS RD STE 227, HAGERSTOWN, MD 21742(301) 797-1900(301) 797-2238 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antietam Neurology Center, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTIETAM NEUROLOGY CENTER, PA (NPI 1093860553) is a healthcare organization registered as a specialist in Hagerstown, Maryland and active in the NPI registry since January 2007. The organization lists Mehrullah Khan, President, as its authorized official.

NPPES Registry Identity

NPI1093860553
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANTIETAM NEUROLOGY CENTER, PA
Location Address11110 MEDICAL CAMPUS RD STE 227Hagerstown, MD 21742-6727
Mailing Address11110 Medical Campus Rd Ste 227Hagerstown, MD 21742-6727 · (301) 797-1900 · Fax (301) 797-2238
Phone(301) 797-1900
Fax(301) 797-2238
Organization SubpartNo
Authorized OfficialMehrullah KhanPresident · (301) 797-1900
Enumeration DateJanuary 24, 2007
Last NPPES UpdateApril 27, 2010
✔ NPI 1093860553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · D0022136
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11110 MEDICAL CAMPUS RD STE 227, Hagerstown, MD 21742
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Other Identifiers 4

Medicare UPINC34034MD
Medicare PIN160071PA
Medicaid4237013 00MD
Medicare ID-Type UnspecifiedS855MD · Medicare Provider Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMPREHENSIVE NEUROLOGY SERVICES, P.A.
Specialist
11110 MEDICAL CAMPUS RD STE 227
HAGERSTOWN, MD 21742
Washington County (301) 797-1900
MR. CONNOR JAMES THOMPSON PA-C
Physician Assistant (Medical)
11110 MEDICAL CAMPUS RD STE 227
HAGERSTOWN, MD 21742
Washington County (217) 381-2383
ANUM MAQSOOD M.D.
Psychiatry & Neurology (Neurology)
11110 MEDICAL CAMPUS RD STE 227
HAGERSTOWN, MD 21742
Washington County (301) 797-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antietam Neurology Center, PA's NPI number?

The NPI number for Antietam Neurology Center, PA is 1093860553. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Antietam Neurology Center, PA located?

Antietam Neurology Center, PA is located at 11110 Medical Campus Rd Ste 227, Hagerstown, MD 21742. The listed phone number is (301) 797-1900.

What is Antietam Neurology Center, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Antietam Neurology Center, PA was last updated on April 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.