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MANZAR J SHAFI MD PA
NPI 1508984113
Internal Medicine - Geriatric Medicine in Hagerstown, MD

Active since March 26, 2007CLIA 21D0220728 · Waiver
368 MILL ST, HAGERSTOWN, MD 21740(301) 739-4510(301) 739-0140 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Manzar J Shafi Md Pa NPPES

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

MANZAR J SHAFI MD PA (NPI 1508984113), doing business as Antietam Geriatric & Internal Medicine Center, is a healthcare organization registered as a geriatric medicine in Hagerstown, Maryland and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 20, 2028 and lists Manzar J Shafi, President, as its authorized official.

NPPES Registry Identity

NPI1508984113
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameMANZAR J SHAFI MD PA
Location Address368 MILL STHagerstown, MD 21740-6138
Mailing Address368 Mill StHagerstown, MD 21740-6138 · (301) 739-4510 · Fax (301) 739-0140
Phone(301) 739-4510
Fax(301) 739-0140
Organization SubpartNo
Authorized OfficialManzar J ShafiPresident · (301) 739-4510
Enumeration DateMarch 26, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1508984113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in MD · D0062327
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License D28365 (MD)
368 MILL ST, Hagerstown, MD 21740
Open in Google Maps ↗

Other Names 1

Doing Business AsAntietam Geriatric & Internal Medicine Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0220728

Manzar Shafi MD · Hagerstown, MD
Active · expires Apr 20, 2028
CLIA Number21D0220728
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorManzar J. Shafi MD PA
Laboratory Phone(301) 739-4510
Laboratory LocationManzar Shafi MD368 Mill St, Hagerstown, MD 21740
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. MANZAR J SHAFI M.D.
Internal Medicine (Geriatric Medicine)
368 MILL ST
HAGERSTOWN, MD 21740
Washington County (301) 739-4510
DR. RINA BANSAL MD
Internal Medicine
368 MILL ST
HAGERSTOWN, MD 21740
Washington County (301) 739-4510

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 Manzar J Shafi MD PA's NPI number?

The NPI number for Manzar J Shafi MD PA is 1508984113. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is doing business as Antietam Geriatric & Internal Medicine Center.

Where is Manzar J Shafi MD PA located?

Manzar J Shafi MD PA is located at 368 Mill St, Hagerstown, MD 21740. The listed phone number is (301) 739-4510.

What is Manzar J Shafi MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Manzar J Shafi MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0220728) is associated with this NPI, valid through April 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Manzar J Shafi MD PA was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.