Shahed Majed Ahmad Abusharar
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Annapolis, MD
NPI 1982392833 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1982392833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2003 Medical Parkway
Suite 350
Annapolis, MD 21401 - Phone
- (443) 951-4286
- Fax
- (443) 949-7380
- NPI assigned
- Apr 28, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240809003297 | MD | Order and Referring Only - Internal Medicine |
5597203422 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients |
Interoperability endpoints
- sabusharar149056@direct.aahs.org
- sabusharar268727@direct.bmc.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MD | Yes |
Addresses
Primary practice location
2003 Medical Parkway
Suite 350
Annapolis, MD 21401
Mailing address
2003 Medical Parkway
Suite 350
Annapolis, MD 21401
Phone (443) 951-4286
Other providers in Annapolis, MD
- Feven Tesfai Abraha
- Luann Abraham
- Teresa George Abraham
- Titus C Abraham
- Alexander Joseph Abramowicz
- Ace of Hearts Medical
- Anhtony Acevedo
- Amy Rachel Ackerman
- Eva Ann Ackerman
- Acorn Health of Maryland LLC
All providers in Annapolis, MD · Student in an Organized Health Care Education/Training Program in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.