Provider Demographics
NPI:1942492939
Name:SHELIA ALONGI, M.D.,P.A.
Entity Type:Organization
Organization Name:SHELIA ALONGI, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:ALONGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-682-8700
Mailing Address - Street 1:9110 PHILADELPHIA RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4301
Mailing Address - Country:US
Mailing Address - Phone:419-682-8799
Mailing Address - Fax:410-682-6155
Practice Address - Street 1:9110 PHILADELPHIA RD
Practice Address - Street 2:SUITE 106
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4301
Practice Address - Country:US
Practice Address - Phone:419-682-8799
Practice Address - Fax:410-682-6155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046595207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD171199OtherMEDICARE
MD552117300OtherMEDICAL ASSISTANCE
DCE484OtherCAREFIRST
GADQ1864OtherRAILROAD MEDICARE
MDOA73SVOtherCAREFIRST