Active NPI
Abdullah Shaker Hanfesh, BDS, MSC, CLIN CERT.
- Student in an Organized Health Care Education/Training Program
- Baltimore, MD
National Provider Identifier
1114770708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 650 W. Biltmore St. Baltimore, MD 21201
Baltimore, MD 21201 - Phone
- (410) 706-6701
- NPI assigned
- Apr 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
650 W. Biltmore St. Baltimore, MD 21201
Baltimore, MD 21201
Mailing address
650 W. Biltmore St. Baltimore, MD 21201
Baltimore, MD 21201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1114770708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 W. BILTMORE ST. BALTIMORE, MD 21201",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 W. BILTMORE ST. BALTIMORE, MD 21201",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-706-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANFESH",
"first_name": "ABDULLAH",
"middle_name": "SHAKER",
"name_prefix": "Mr.",
"credential": "BDS, MSC, CLIN CERT.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-11",
"last_updated": "2024-09-12",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.