Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antietam Neurology Center, PA

Organization Specialist · NPI 1093860553

Antietam Neurology Center, PA is a Specialist 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
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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