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NPI Code Detail

MEDICARE: DR. SHAFQUAT MERAJ M.D.

MEDICARE: DR. SHAFQUAT MERAJ 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
1208800000XUrology PhysicianD0060084MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700882255
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAFQUAT MERAJ M.D.
Provider Business Mailing Address
First Line : 1015 PRINCE FREDERICK BLVD
Second Line :
City : PRINCE FREDERICK
State : MD
Zip : 20678-3193
Country : US
Telephone Number : 13-373-7900
Fax Number : 301-373-6900
Provider Business Practice Location Address
First Line : 10 SAINT PATRICKS DR
Second Line :
City : WALDORF
State : MD
Zip : 20603-4527
Country : US
Telephone Number : 301-373-7900
Fax Number : 301-373-6900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 02/23/2023

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