Shahid Shamim,MD.,LLC.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D-59284 Issued in MD

Legal business name

SHAHID SHAMIM,MD.,LLC.

Practice address

11119 Rockville Pike
Suite # 100
Rockville, MD 20852-3143

Phone

(301) 816-9000

Fax

(240) 454-3980

NPI assigned

Apr 7, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shahid Shamim, MD

Title

Ceo

Phone

(301) 452-2116

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1285020115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10247",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208980247",
            "telephone_number": "301-816-9000",
            "fax_number": "240-454-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE",
            "address_2": "SUITE # 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523143",
            "telephone_number": "301-816-9000",
            "fax_number": "240-454-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHID SHAMIM,MD.,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "SHAMIM",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-452-2116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D-59284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Pranay Shah, PT, MPH
• Zaina Shah
• Abigail Joy Shahar, LCPC, LCPAT
• Nadiyah Shaheed
• Damian Shahfe
• Haadia Shahid
• Mahvash Shahraki Kalhor
• Shahram Modarres PC
• Shahram Vaziri DDS Inc.
• Khachatoor Shahverdi, CSA

• Primary Care Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.