Provider Demographics
NPI:1336135979
Name:SHAIGANY, ASGHAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ASGHAR
Middle Name:
Last Name:SHAIGANY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5632 ANNAPOLIS RD
Mailing Address - Street 2:#12
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-2213
Mailing Address - Country:US
Mailing Address - Phone:301-864-3888
Mailing Address - Fax:301-699-3007
Practice Address - Street 1:5632 ANNAPOLIS RD
Practice Address - Street 2:#12
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-2213
Practice Address - Country:US
Practice Address - Phone:301-864-3888
Practice Address - Fax:301-699-3007
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDB94178207RG0100X
DCMD12938207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC023624700Medicaid
MD268751800Medicaid
DC023624700Medicaid