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NPI Code Detail

MEDICARE: CHESAPEAKE NEUROLOGY & SPINE AT ST. MARY'S

MEDICARE: CHESAPEAKE NEUROLOGY & SPINE AT ST. MARY'S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1285721522
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHESAPEAKE NEUROLOGY & SPINE AT ST. MARY'S
Provider Business Mailing Address
First Line : 8725 LOCH RAVEN BLVD
Second Line : SUITE 200
City : TOWSON
State : MD
Zip : 21286-2227
Country : US
Telephone Number : 410-828-8100
Fax Number : 410-882-3310
Provider Business Practice Location Address
First Line : 37767 MARKET DR
Second Line :
City : CHARLOTTE HALL
State : MD
Zip : 20622-3188
Country : US
Telephone Number : 410-828-8100
Fax Number : 410-882-3310
Authorized Official
Title or Position : CLIENT MANAGER
Name : MICHAEL L ASHBURN
Credential :
Telephone Number : 410-828-8100
Provider Enumeration Date : 10/06/2006
Last Update Date : 08/22/2020

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1134148075 — DR. ARPANA SHAH MD
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Directions to “CHESAPEAKE NEUROLOGY & SPINE AT ST. MARY'S ” Practice Location

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