MEDICARE: DR. NORMA N EL-SHAMMAA M.D.

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
1	305R00000X	Preferred Provider Organization	D26280	MD

General Provider Information

NPI Number	:	1760403018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMA N EL-SHAMMAA M.D.

Provider Business Mailing Address
First Line	:	4708 POWDER HOUSE DR
Second Line	:	(HOUSE)
City	:	ROCKVILLE
State	:	MD
Zip	:	20853-1139
Country	:	US
Telephone Number	:	301-774-3983
Fax Number	:	301-570-6137

Provider Business Practice Location Address
First Line	:	2911 OLNEY SANDY SPRING RD
Second Line	:	SUITE A
City	:	OLNEY
State	:	MD
Zip	:	20832-1530
Country	:	US
Telephone Number	:	301-774-4220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	07/08/2007

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