Provider Demographics
NPI:1760403018
Name:EL-SHAMMAA, NORMA N (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:N
Last Name:EL-SHAMMAA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 POWDER HOUSE DR
Mailing Address - Street 2:(HOUSE)
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1139
Mailing Address - Country:US
Mailing Address - Phone:301-774-3983
Mailing Address - Fax:301-570-6137
Practice Address - Street 1:2911 OLNEY SANDY SPRING RD
Practice Address - Street 2:SUITE A
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1530
Practice Address - Country:US
Practice Address - Phone:301-774-4220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD26280305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDDO9588Medicare UPIN
MDEL412369Medicare ID - Type Unspecified