MEDICARE: SHAFI INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1972250330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAFI INC

Provider Business Mailing Address
First Line	:	4224 PURPLE TWILIGHT WAY
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-5954
Country	:	US
Telephone Number	:	240-938-9684
Fax Number	:

Provider Business Practice Location Address
First Line	:	4101 OLD NATIONAL PIKE
Second Line	:
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-4115
Country	:	US
Telephone Number	:	301-829-0800
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. SYED QASIM ABBAS
Credential	:	MD
Telephone Number	:	240-938-9684

Provider Enumeration Date	:	03/06/2022
Last Update Date	:	03/21/2022

Similar Medicare Providers

1154288827 — PLEASANT VIEW NURSING AND REHAB CENTER LLC
Practice Location Address:

4101 BALTIMORE NATIONAL PIKE
MOUNT AIRY, MD
21771-4115

Practice Phone: 301-829-0800
Practice Fax:

1427002559 — PLEASANT VIEW NURSING HOME OF MT. AIRY, INC.
Practice Location Address:

4101 OLD NATIONAL PIKE
MOUNT AIRY, MD
21771-4115

Practice Phone: 301-829-0800
Practice Fax: 410-442-4697

1013491414 — JUDITH ANN EHRET OT
Practice Location Address:

4101 OLD NATIONAL PIKE
MOUNT AIRY, MD
21771-4115

Practice Phone: 301-829-0800
Practice Fax:

1538637509 — MICHELLE MELEADY-D'AMBROSIO M.S.CCC-SLP
Practice Location Address:

4101 OLD NATIONAL PIKE
MOUNT AIRY, MD
21771-4115

Practice Phone: 301-829-0800
Practice Fax: 301-698-4693

1144819806 — JOSEPH ENONGENE MBONG BSN, RN
Practice Location Address:

4101 OLD NATIONAL PIKE
MOUNT AIRY, MD
21771-4115

Practice Phone: 301-829-0800
Practice Fax:

1790443596 — OLD NATIONAL LEASING CO., LLC
Practice Location Address:

4101 BALTIMORE NATIONAL PIKE
MOUNT AIRY, MD
21771-4115

Practice Phone: 301-829-0800
Practice Fax:

Directions to “SHAFI INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.