Healthcare Provider Details

I. General information

NPI: 1619445830
Provider Name (Legal Business Name): FM MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2018
Last Update Date: 11/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 VARNUM ST NE STE 203
WASHINGTON DC
20017-2107
US

IV. Provider business mailing address

229 FLORIDA AVE NW
WASHINGTON DC
20001-1874
US

V. Phone/Fax

Practice location:
  • Phone: 202-468-4011
  • Fax:
Mailing address:
  • Phone: 202-468-4011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SHIBLI MUHAMMAD
Title or Position: PRESIDENT
Credential:
Phone: 202-468-4011