MEDICARE: DR. SHANIQUE TAMARA CARTWRIGHT 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	2084P0800X	Psychiatry Physician	MD0072664	MD

General Provider Information

NPI Number	:	1265692115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHANIQUE TAMARA CARTWRIGHT M.D.

Provider Business Mailing Address
First Line	:	5627 ALLENTOWN RD
Second Line	:	UNIT 100
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-4520
Country	:	US
Telephone Number	:	301-241-0255
Fax Number	:	240-455-0247

Provider Business Practice Location Address
First Line	:	5627 ALLENTOWN RD
Second Line	:	UNIT 100
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-4520
Country	:	US
Telephone Number	:	301-241-0255
Fax Number	:	240-455-0247

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

Provider Enumeration Date	:	06/13/2008
Last Update Date	:	03/02/2017

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