NPIMap

Organization Active NPI

Shafi Inc

  • Family Medicine Physician
  • Mount Airy, MD
National Provider Identifier
1972250330
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHAFI INC
Practice address
4101 Old National Pike
Mount Airy, MD 21771-4115
Phone
(301) 829-0800
NPI assigned
Mar 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Dr. Syed Qasim Abbas, MD
Title
Ceo
Phone
(240) 938-9684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4101 Old National Pike
Mount Airy, MD 21771-4115

Mailing address

4224 Purple Twilight Way
Ellicott City, MD 21042-5954
Phone (240) 938-9684

National Provider Directory

National Provider Directory

Locations

848 S Rolling Rd
Catonsville, MD 21228
Phone (301) 527-1650

NPI Registry JSON

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

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1972250330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 PURPLE TWILIGHT WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425954",
            "telephone_number": "240-938-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 OLD NATIONAL PIKE",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217714115",
            "telephone_number": "301-829-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-06",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "ABBAS",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "QASIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-938-9684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.