Organization Active NPI

Javaid M Shafi MD PA

  • Clinic/Center
  • Baltimore, MD
National Provider Identifier
1740298363
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
D0014138 Issued in MD
Legal business name
JAVAID M SHAFI MD PA
Practice address
2300 Garrison Blvd Ste 230
Baltimore, MD 21216-2377
Phone
(410) 566-1211
Fax
(446) 455-1464
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Javaid Muhammad Shafi, MD
Title
President
Phone
(410) 566-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X D0014138 MD Primary

Addresses

Primary practice location

2300 Garrison Blvd Ste 230
Baltimore, MD 21216-2377

Mailing address

2300 Garrison Blvd Ste 230
Baltimore, MD 21216-2377
Phone (410) 566-1211

Other identifiers 1

IdentifierTypeStateIssuer
051341500MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1740298363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GARRISON BLVD STE 230",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162377",
            "telephone_number": "410-566-1211",
            "fax_number": "410-566-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GARRISON BLVD STE 230",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162377",
            "telephone_number": "410-566-1211",
            "fax_number": "446-455-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVAID M SHAFI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "JAVAID",
        "authorized_official_middle_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-566-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D0014138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051341500",
            "state": "MD"
        }
    ],
    "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 Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.