Healthcare Provider Details

I. General information

NPI: 1396171070
Provider Name (Legal Business Name): HASHIM ABBAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2013
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 E MONUMENT ST FL 4
BALTIMORE MD
21287-0020
US

IV. Provider business mailing address

1830 E MONUMENT ST FL 4
BALTIMORE MD
21287-0020
US

V. Phone/Fax

Practice location:
  • Phone: 410-550-7070
  • Fax: 410-367-2258
Mailing address:
  • Phone: 410-502-7070
  • Fax: 410-367-2258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number57.022431
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD485326
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number85562
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: