Active NPI
Ramleth Ta Shakir MD
- Internal Medicine Physician
- Gaithersburg, MD
National Provider Identifier
1619147709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0027830
- Legal business name
- RAMLETH TA SHAKIR MD
- Practice address
- 9019 Shady Grove CT
Gaithersburg, MD 20877-1301 - Phone
- (301) 258-7636
- Fax
- (301) 990-9658
- NPI assigned
- Mar 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ramleth Shakir, M.D.
- Title
- Physician/Owner
- Phone
- (301) 258-7636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0027830 | MD | Primary |
Addresses
Primary practice location
9019 Shady Grove CT
Gaithersburg, MD 20877-1301
Mailing address
9019 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone (301) 258-7636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 798741200 | Medicaid | MD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1619147709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9019 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "301-258-7636",
"fax_number": "301-990-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9019 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "301-258-7636",
"fax_number": "301-990-9658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAMLETH TA SHAKIR MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-05",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "SHAKIR",
"authorized_official_first_name": "RAMLETH",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "301-258-7636",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0027830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "798741200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.