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MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1700684347
Internal Medicine - Hematology & Oncology in Hagerstown, MD

Active since March 07, 2025
11110 MEDICAL CAMPUS RD STE 130, HAGERSTOWN, MD 21742(301) 665-4710 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1700684347) is a healthcare organization registered as a hematology & oncology 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

NPI1700684347
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address11110 MEDICAL CAMPUS RD STE 130Hagerstown, MD 21742-6799
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Phone(301) 665-4710
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1700684347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedGeneral PracticeTaxonomy 208D00000X
11110 MEDICAL CAMPUS RD STE 130, 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 9

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

JENNA M SMITH FNP
Nurse Practitioner (Family)
11110 MEDICAL CAMPUS RD STE 130
HAGERSTOWN, MD 21742
Washington County (240) 665-4710
MCKENZIE ESTHER SORRELL DO
Internal Medicine
11110 MEDICAL CAMPUS RD STE 130
HAGERSTOWN, MD 21742
Washington County (301) 665-4710
ARISH NOOR
Internal Medicine (Hematology & Oncology)
11110 MEDICAL CAMPUS RD STE 130
HAGERSTOWN, MD 21742
Washington County (301) 665-4710
RESHMA KHETPAL MD
Internal Medicine (Hematology & Oncology)
11110 MEDICAL CAMPUS RD STE 130
HAGERSTOWN, MD 21742
Washington County (301) 665-4710
MAHINUR H. KHAN M.D.
Internal Medicine (Hematology & Oncology)
11110 MEDICAL CAMPUS RD STE 130
HAGERSTOWN, MD 21742
Washington County (301) 665-4710
MS. JULIE SHUPP RPH, BCOP
Pharmacist (Oncology)
11110 MEDICAL CAMPUS RD STE 130
HAGERSTOWN, MD 21742
Washington County (301) 790-9214
MOHAMMAD M KHAN MD
Internal Medicine (Hematology & Oncology)
11110 MEDICAL CAMPUS RD STE 130
HAGERSTOWN, MD 21742
Washington County (301) 665-4710
DR. SYED SHAHID MAHMOOD M.D.
Internal Medicine (Medical Oncology)
11110 MEDICAL CAMPUS RD STE 130
HAGERSTOWN, MD 21742
Washington County (301) 665-4710

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 1700684347. 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 11110 Medical Campus Rd Ste 130, Hagerstown, MD 21742. The listed phone number is (301) 665-4710.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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.