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MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1649078288
Internal Medicine - Pulmonary Disease in Hagerstown, MD

Active since March 07, 2025
12821 OAK HILL AVE, HAGERSTOWN, MD 21742(301) 733-0300 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medical Practices Of Antietam Llc NPPES

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

MEDICAL PRACTICES OF ANTIETAM LLC (NPI 1649078288) is a healthcare organization registered as a pulmonary disease in Hagerstown, Maryland and active in the NPI registry since March 2025. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649078288
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address12821 OAK HILL AVEHagerstown, MD 21742-2940
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Phone(301) 733-0300
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1649078288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedGeneral PracticeTaxonomy 208D00000X
12821 OAK HILL AVE, Hagerstown, MD 21742
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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

Other Providers at the Same Location NPPES 12

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

KALIM AHMED MD
Internal Medicine (Pulmonary Disease)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0300
SHAHEEN IQBAL MD
Internal Medicine (Pulmonary Disease)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0300
BRANDY LOCKE CRNP
Nurse Practitioner (Acute Care)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0300
DRS. WAHEED ALENCHERRY AND IQBAL PA
Internal Medicine (Pulmonary Disease)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0300
DR. PAJMAN ALEXANDER DANAI MD
Internal Medicine (Pulmonary Disease)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0300
CASEY SETON SULLIVAN RN
Nurse Practitioner (Family)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0300
MUDUSAR I RAZA M.D.
Internal Medicine (Pulmonary Disease)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0300
MEDOVILLE PHARMACY INC.
Pharmacy (Community/Retail Pharmacy)
12821 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 378-2334

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 Medical Practices Of Antietam LLC's NPI number?

The NPI number for Medical Practices Of Antietam LLC is 1649078288. It was assigned to this organization in the NPPES registry on March 7, 2025.

Where is Medical Practices Of Antietam LLC located?

Medical Practices Of Antietam LLC is located at 12821 Oak Hill Ave, Hagerstown, MD 21742. The listed phone number is (301) 733-0300.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Medical Practices Of Antietam LLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.