Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Antietam Neurology Center, PA

Organization Specialist · NPI 1093860553

Antietam Neurology Center, PA provides Specialist services in Hagerstown, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11110 Medical Campus Rd Ste 227
Hagerstown, MD 21742-6727 Not confirmed with CMS for 16 years — call before visiting
Phone: (301) 797-1900
Fax: (301) 797-2238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence D0022136 (MD)

Record details

NPI number1093860553
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mehrullah Khan — President · (301) 797-1900
NPI enumeratedJanuary 24, 2007
Last updated in NPPESApril 27, 2010
Mailing address11110 Medical Campus Rd Ste 227, Hagerstown, MD 21742-6727

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