Shahab A Khan
MID-ATLANTIC NEPHROLOGY ASSOCIATES PA


Address: 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984
Phone: 4107603588

Shahab A Khan (NPI# 1336182302, PAC ID# 5991701104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.

Physician Overview

Nation Provider ID (NPI) 1336182302
PAC ID by PECOS 5991701104
Professional Enrollment ID I20061011000554
Full Name Shahab A Khan
Organization Legal Name MID-ATLANTIC NEPHROLOGY ASSOCIATES PA
Address 808 Landmark Dr
Suite 122
Glen Burnie
MD 21061-4984
Phone Number 4107603588
Gender M
Credential MD
Graduation Year 2001
Primary Specialty NEPHROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 2769469006
Number of Group Practice Members 52
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210043 UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER
210034 MEDSTAR HARBOR HOSPITAL
210009 JOHNS HOPKINS HOSPITAL, THE
210023 ANNE ARUNDEL MEDICAL CENTER

Other Locations

Address Phone Organization
3001 S Hanover St, Suite 200, Baltimore, MD 21225-1233 4107603588 MID-ATLANTIC NEPHROLOGY ASSOCIATES PA
808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984 4107603588 MID-ATLANTIC NEPHROLOGY ASSOCIATES PA

Organization Information

Organization Legal Name MID-ATLANTIC NEPHROLOGY ASSOCIATES PA
Physicians 56

Physicians with the same organization

Name Specialty Organization Address
Marla G Brown Nurse Practitioner Mid-atlantic Nephrology Associates Pa 516 N Rolling Rd, Suite 304, Catonsville, MD 21228-4140
Shari T Lewis Nephrology Mid-atlantic Nephrology Associates Pa 7106 Ridge Rd, Suite 155, Baltimore, MD 21237-3875
Tin Maung Nephrology Mid-atlantic Nephrology Associates Pa 5999 Harpers Farm Rd, Suite W 250, Columbia, MD 21044-3017
Jeffrey N Posner Nephrology Mid-atlantic Nephrology Associates Pa 1589 Sulpher Spring Rd, Suite 109, Baltimore, MD 21227
Jennifer R Pullmann Nurse Practitioner Mid-atlantic Nephrology Associates Pa 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421
Anuradha Boddeti Nephrology Mid-atlantic Nephrology Associates Pa 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984
Jia Liu Nephrology Mid-atlantic Nephrology Associates Pa 5999 Harpers Farm Rd, Suite W 250, Columbia, MD 21044-3017
Tatiana G Smirnova Nurse Practitioner Mid-atlantic Nephrology Associates Pa 1205 York Rd, Suite 26, Lutherville, MD 21093-6210
Bayinnah Shabazz Nephrology Mid-atlantic Nephrology Associates Pa 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984
Shoaib Ali Nephrology Mid-atlantic Nephrology Associates Pa 516 N Rolling Rd, Suite 304, Catonsville, MD 21228-4140

Office Location

Street Address 808 LANDMARK DR
SUITE 122
City GLEN BURNIE
State MD
Zip 21061-4984

Physicians in the same location

Name Specialty Organization Address
Anuradha Boddeti Nephrology Mid-atlantic Nephrology Associates Pa 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984
Bayinnah Shabazz Nephrology Mid-atlantic Nephrology Associates Pa 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984
Vijay V Kumar Nephrology Mid-atlantic Nephrology Associates Pa 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984
Jacques R Conaway Pulmonary Disease Pulmonary and Critical Care Associates of Baltimore, P.a. 808 Landmark Dr, Suite 120, Glen Burnie, MD 21061-4984
Gerard Mark Lowder Nephrology Mid-atlantic Nephrology Associates Pa 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984
Heather M Fliehman Registered Dietitian Or Nutrition Professional Mid-atlantic Nephrology Associates Pa 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984
Rochelle M Cunningham Internal Medicine Mid-atlantic Nephrology Associates Pa 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984
Ross S Cohen Podiatry 808 Landmark Dr, Suite 225, Glen Burnie, MD 21061-4985
Oluremi O Adedapo Nurse Practitioner Mid-atlantic Nephrology Associates Pa 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984
Stephen M Zemel Nephrology Mid-atlantic Nephrology Associates Pa 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4984
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Name Specialty Organization Address
Deep Hasmukh Dalal Rheumatology 1406 B S Crain Hwy 207, Glen Burnie, MD 21061
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Carmen Negron-wagman Physical Therapy Ati Holdings LLC 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431
Leanne Mckoy Physical Therapy Ati Holdings LLC 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431
John Ohlhaver Physical Therapy Ati Holdings LLC 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431
Shawn Marie Wallace Nurse Practitioner Mdics Rehabilitative Services LLC 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593
Nadia Koran Krause Nurse Practitioner Mdics Rehabilitative Services LLC 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593
Richard P Campbell Physician Assistant Mdics Rehabilitative Services LLC 6934 Aviation Blvd, Glen Burnie, MD 21061-2593
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Competitor

Search similar physicians

City GLEN BURNIE
Zip Code 21061
Specialty NEPHROLOGY
City + Specialty GLEN BURNIE + NEPHROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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