Hagerstown Pediatrics
Clinic/Center, Primary Care in Hagerstown, MD. Organization (NPI-2).
NPI number1912965997
StatusActive
Last updated in NPPESNov 24, 2025
Details
- NPI
- 1912965997
- Entity type
- Organization (NPI-2)
- Legal business name
- Hagerstown Pediatrics
- Organization subpart
- No
- Enumeration date
- May 1, 2006
- Certification date
- Nov 24, 2025
- Last updated
- Nov 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | D0060377 | MD | Yes |
Practice location
332 Mill StHagerstown, MD 21740-6138
Phone 301-733-9335 · Fax 301-733-4191
Mailing address
332 Mill StHagerstown, MD 21740-6138
Phone 301-733-9335 · Fax 301-733-4191
Authorized official
Shafaat Ullah Khan
Medical Director
3017339335
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