| Manzar J Shafi Md Pa | |
|
368 Mill St Hagerstown MD 21740-6138 | |
| (301) 739-4510 | |
| (301) 739-0140 |
| Full Name | Manzar J Shafi Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 368 Mill St, Hagerstown, Maryland |
| Authorized Official Name and Position | Manzar J Shafi (PRESIDENT) |
| Authorized Official Contact | 3017394510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manzar J Shafi Md Pa 368 Mill St Hagerstown MD 21740-6138 Ph: (301) 739-4510 | Manzar J Shafi Md Pa 368 Mill St Hagerstown MD 21740-6138 Ph: (301) 739-4510 |
| NPI Number | 1508984113 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 09/11/2025 |
| Medicare PECOS PAC ID | 8921052895 |
|---|---|
| Medicare Enrollment ID | O20050303000916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508984113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D28365 (Maryland) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | D0062327 (Maryland) | Primary |
| Provider Name | Shannon P Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528089323 PECOS PAC ID: 8224107420 Enrollment ID: I20080514000214 |
| Provider Name | Manzar J Shafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689655367 PECOS PAC ID: 2466406335 Enrollment ID: I20101011001148 |
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