OrganizationActive
Antietam Neurology Center, PA
NPI 1093860553 · Specialist · Hagerstown, MD
Antietam Neurology Center, PA is a Specialist organization in Hagerstown, MD (NPI 1093860553).
Provider details
- NPI number
- 1093860553
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Mehrullah Khan, President(301) 797-1900
- License
- D0022136 (MD)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11110 Medical Campus Rd Ste 227
Hagerstown, MD 21742-6727
Phone: (301) 797-1900
Fax: (301) 797-2238
Street-level locationGet directions
Mailing address
11110 Medical Campus Rd Ste 227
Hagerstown, MD 21742-6727
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2010-04-27
Frequently asked questions
- What is Antietam Neurology Center, PA's NPI number?
- Antietam Neurology Center, PA's National Provider Identifier (NPI) is 1093860553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Antietam Neurology Center, PA?
- Antietam Neurology Center, PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Antietam Neurology Center, PA located?
- Antietam Neurology Center, PA's practice location on file with NPPES is 11110 Medical Campus Rd Ste 227, Hagerstown, MD 21742-6727.
- What is Antietam Neurology Center, PA's phone number?
- The practice phone number listed in the NPPES registry for Antietam Neurology Center, PA is (301) 797-1900.
- Who is the authorized official for Antietam Neurology Center, PA?
- The authorized official listed on Antietam Neurology Center, PA's NPPES record is Mehrullah Khan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Antietam Neurology Center, PA's NPI active?
- Yes — Antietam Neurology Center, PA's NPI (1093860553) is active in the NPPES registry as of the last update on 2010-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.