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MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1982413811
Internal Medicine - Gastroenterology in Hagerstown, MD

Active since January 06, 2025
11110 MEDICAL CAMPUS RD STE 246, HAGERSTOWN, MD 21742(301) 665-4585 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 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 1982413811) is a healthcare organization registered as a gastroenterology in Hagerstown, Maryland and active in the NPI registry since January 2025. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1982413811
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address11110 MEDICAL CAMPUS RD STE 246Hagerstown, MD 21742-6756
Mailing Address11110 Medical Campus Rd Ste 246Hagerstown, MD 21742-6756
Phone(301) 665-4585
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1982413811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
11110 MEDICAL CAMPUS RD STE 246, Hagerstown, MD 21742
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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 6

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

DR. CHUNWEI WALTER LAI M.D., PH.D.
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 246
HAGERSTOWN, MD 21742
Washington County (301) 665-4585
DR. RIAD SALEM ALMUDALLAL MD
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 246
HAGERSTOWN, MD 21742
Washington County (301) 665-4585
DR. RASHID HANIF M.D.
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 246
HAGERSTOWN, MD 21742
Washington County (301) 665-4585
DR. SHOWKAT BASHIR MD
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 246
HAGERSTOWN, MD 21742
Washington County (301) 665-4585
DR. PEAR MOHAMMAD ENAM M.D.
Specialist
11110 MEDICAL CAMPUS RD STE 246
HAGERSTOWN, MD 21742
Washington County (301) 665-4585
ERIN OMAN CRNP
Nurse Practitioner (Family)
11110 MEDICAL CAMPUS RD STE 246
HAGERSTOWN, MD 21742
Washington County (301) 665-4585

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 1982413811. It was assigned to this organization in the NPPES registry on January 6, 2025.

Where is Medical Practices Of Antietam LLC located?

Medical Practices Of Antietam LLC is located at 11110 Medical Campus Rd Ste 246, Hagerstown, MD 21742. The listed phone number is (301) 665-4585.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Medical Practices Of Antietam LLC was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.