Provider Demographics
NPI:1265692115
Name:CARTWRIGHT, SHANIQUE TAMARA (MD)
Entity type:Individual
Prefix:DR
First Name:SHANIQUE
Middle Name:TAMARA
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5627 ALLENTOWN RD
Mailing Address - Street 2:UNIT 100
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20746-4520
Mailing Address - Country:US
Mailing Address - Phone:301-241-0255
Mailing Address - Fax:240-455-0247
Practice Address - Street 1:5627 ALLENTOWN RD
Practice Address - Street 2:UNIT 100
Practice Address - City:CAMP SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20746-4520
Practice Address - Country:US
Practice Address - Phone:301-241-0255
Practice Address - Fax:240-455-0247
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2017-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDMD00726642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry