Moshe J Shmuklarsky, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0021175 Issued in MD

Practice address

9401 Balfour Dr
Bethesda, MD 20814-5722

Phone

(301) 619-7955

NPI assigned

Jan 14, 2016

Last updated

Jan 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1750747192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 BALFOUR DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145722",
            "telephone_number": "301-619-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 BALFOUR DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145722",
            "telephone_number": "301-619-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHMUKLARSKY",
        "first_name": "MOSHE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0021175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "D0021175",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Arthur Shifter, LCPC, LPC
• Hla Hla Sein Shih, RPH
• Cherri Lynn Shireman
• Taline Serena Shishoian
• Lana Shiu, M.D.
• Leila Shobab
• Jaymes Wilkins Shorter
• David Shou, MD
• Ross Gordon Showalter, LCSW-C
• Svitlana Shpilman

• Internal Medicine Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.