Provider Demographics
NPI:1831393792
Name:MCGANN, STEPHANY ANN-MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHANY
Middle Name:ANN-MARIE
Last Name:MCGANN
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 1:651 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4067
Mailing Address - Country:US
Mailing Address - Phone:301-725-7014
Mailing Address - Fax:301-725-7280
Practice Address - Street 1:651 MAIN ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4067
Practice Address - Country:US
Practice Address - Phone:301-725-7014
Practice Address - Fax:301-725-7280
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD68062207R00000X, 207RR0500X
DCMD035901207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine