Organization Active NPI

Shafquat Meraj, M.D., P.a.

  • Specialist
  • Prince Frederick, MD
National Provider Identifier
1710182498
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0060084 Issued in MD
Legal business name
SHAFQUAT MERAJ, M.D., P.A.
Practice address
1015 Prince Frederick Boulevard
Prince Frederick, MD 20678-4019
Phone
(410) 231-4666
Fax
(410) 414-8480
NPI assigned
Jun 20, 2007
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Dr. Shafquat Meraj, M.D.
Title
Owner
Phone
(410) 231-4666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0060084 MD Primary

Addresses

Primary practice location

1015 Prince Frederick Boulevard
Prince Frederick, MD 20678-4019

Mailing address

PO Box 447
Prince Frederick, MD 20678-0447
Phone (410) 535-4116

Other identifiers 2

IdentifierTypeStateIssuer
K983OtherDCBLUE SHIELD OF NCA GRP ID
387CSHOtherMDBLUE SHIELD OF MD GRP ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1710182498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780447",
            "telephone_number": "410-535-4116",
            "fax_number": "410-414-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 PRINCE FREDERICK BOULEVARD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784019",
            "telephone_number": "410-231-4666",
            "fax_number": "410-414-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFQUAT MERAJ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "MERAJ",
        "authorized_official_first_name": "SHAFQUAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-231-4666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0060084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NCA GRP ID",
            "identifier": "K983",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MD GRP ID",
            "identifier": "387CSH",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.