NPIMap

Organization Active NPI

Masterpiece Institute of Aesthetics and Gynecology

  • Obstetrics & Gynecology Physician
  • Annapolis, MD
National Provider Identifier
1891201216
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0074779 Issued in MD
Legal business name
MASTERPIECE INSTITUTE OF AESTHETICS AND GYNECOLOGY
Practice address
116 Defense Hwy Ste 501
Annapolis, MD 21401
Phone
(215) 432-8534
Fax
(443) 703-3201
NPI assigned
Dec 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Dr. Khadija N Dugan, MD
Title
Owner
Phone
(443) 569-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X D0074779 MD Primary

Addresses

Primary practice location

116 Defense Hwy Ste 501
Annapolis, MD 21401

Mailing address

45 Aspen Woods Dr
Sunderland, MD 20689-3013
Phone (443) 569-0411

National Provider Directory

National Provider Directory

Locations

116 Defense Hwy
Ste 501
Annapolis, MD 21401
Phone (215) 432-8534

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1891201216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ASPEN WOODS DR",
            "city": "SUNDERLAND",
            "state": "MD",
            "postal_code": "206893013",
            "telephone_number": "443-569-0411",
            "fax_number": "443-703-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY STE 501",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "215-432-8534",
            "fax_number": "443-703-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERPIECE INSTITUTE OF AESTHETICS AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "KHADIJA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-569-0411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0074779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.