NPIMap

Organization Active NPI

Intramed Infusion Center PA

  • Infectious Disease Physician
  • Laurel, MD
National Provider Identifier
1154310340
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D20251 Issued in MD
Legal business name
INTRAMED INFUSION CENTER PA
Practice address
7350 Van Dusen Rd
Suite 220
Laurel, MD 20707-5268
Phone
(301) 604-8000
Fax
(301) 604-4406
NPI assigned
Oct 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gita K Sham, MD
Title
President
Phone
(301) 604-8000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0200X D20251 MD Primary
Infectious Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0200X M07210 MD
Infectious Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0200X AS9323522 MD

Addresses

Primary practice location

7350 Van Dusen Rd
Suite 220
Laurel, MD 20707-5268

Mailing address

7350 Van Dusen Rd
Suite 220
Laurel, MD 20707-5268
Phone (301) 604-8000

Other identifiers 1

IdentifierTypeStateIssuer
5031-0001OtherMDBC DC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154310340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "SUITE 220",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075268",
            "telephone_number": "301-604-8000",
            "fax_number": "301-604-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "SUITE 220",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075268",
            "telephone_number": "301-604-8000",
            "fax_number": "301-604-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRAMED INFUSION CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAM",
        "authorized_official_first_name": "GITA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-604-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D20251",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "M07210",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "AS9323522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC DC",
            "identifier": "5031-0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.