Skyline Physicians of MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0075094 Issued in MD

Legal business name

SKYLINE PHYSICIANS OF MD LLC

Practice address

2110 Walnut Ridge CT # 1L
Frederick, MD 21702-5921

Phone

(213) 399-8357

NPI assigned

Aug 8, 2016

Organization subpart

No

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

Authorized official

Name

Rafai Bukhari, M.D

Title

President

Phone

(213) 399-8357

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1730633785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 WALNUT RIDGE CT # 1L",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025921",
            "telephone_number": "213-399-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 WALNUT RIDGE CT # 1L",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025921",
            "telephone_number": "213-399-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE PHYSICIANS OF MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "BUKHARI",
        "authorized_official_first_name": "RAFAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-399-8357",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0075094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sivora Health LC
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• Hailey Lynn Skelley
• Robert Michael Skvorak, DDS
• Sky Health
• SL Care
• Ashley Pierce Slade, CNM
• Sleep Well Maryland
• Sleepmed Therapies, Inc
• Sleepmed, Inc.

• Family Medicine Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.