21D2129494 CLIA NUMBER - SHAHID MAHMOOD MD FAMILY PRACTICE PA

Laboratory Demographics

CLIA Number: 21D2129494

Facility Name: SHAHID MAHMOOD MD FAMILY PRACTICE PA

Facility Address:
1124 OPAL COURT
HAGERSTOWN, MD
ZIP 21740
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Facility Phone Number: 301 733-4496

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982701611

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	21D2129494
LAB Type	Physician Office
Facility Name	SHAHID MAHMOOD MD FAMILY PRACTICE PA
Street	1124 OPAL COURT
City	HAGERSTOWN
State	MD
ZIP	21740
Phone	301 733-4496
CertificateType	4
CertificateEffectiveDate	4/20/2023
CertificateExpirationDate	4/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024